BUSCH HEALTHCARE & REHAB
Managed Care Organizations at Busch Blvd, Tampa, FL

License number
Florida MA8652
Category
Managed Care Organizations
Type
Health Maintenance Organization
Owner
Name: DR. ROBERTO J CASANAS M.D.
Title: GENERAL MEDICINE
Phone: (813) 443-5191
Address
Address
2901 W Busch Blvd SUITE 305, Tampa, FL 33618
National Provider ID: 1295965317
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BUSCH HEALTHCARE & REHAB, INC

Tampa, FL

Status:
Inactive
Industry:
Health/Allied Services
Inactive reason:
AMENDMENT
Registration:
May 15, 2009
Inactive since:
May 31, 2011
Addresses:
3750 Gun Hwy - SUITE 209, Tampa, FL 33618 (Physical)
Tampa, FL 33685 (Mailing)
3750 Gunn Hwy, Tampa, FL 33618
PO Box 260211, Tampa, FL 33685
2901 W Busch Blvd, Tampa, FL 33618
State ID:
P09000043360
Business type:
Florida Profit Corporation
President, Vice Presidents:
James A Johnson (President), 12737 N 17 St, Tampa, FL 33612 (Physical),Robert J. Casanas President, inactive,Alder Hernandez President, Vice President, inactive
Agent:
Arbolaez, Aldo,6805 Chippendale Ct, Tampa, FL 33634 (Physical)
EIN:
270193030

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