| Organization Name: | CANO MEDICAL DENTAL INC. |
| NPI Number: | 1689901688 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARLOW B HERNANDEZ (C.E.O.) |
| Mailing Address: | 680 N University Drive Pembroke Pines |
| State: | FL US |
| Postal Code: | 33024 |
| Phone Number: | 9545386868 |
| Fax Number: | 9545386850 |
| NPI Enumeration Date: | 11/11/2009 |
| NPI Last Update Date: | 10/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS11834 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |