Provider Demographics
NPI:1154303444
Name:CASADO, LOUIS F (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:F
Last Name:CASADO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7189 PEMBROKE RD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33023-2679
Mailing Address - Country:US
Mailing Address - Phone:954-983-1220
Mailing Address - Fax:954-983-0687
Practice Address - Street 1:1100 S STATE ROAD 7 STE 104
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33068-4033
Practice Address - Country:US
Practice Address - Phone:954-984-8000
Practice Address - Fax:954-984-8811
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 105809207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010051100Medicaid
FL010051100Medicaid
ILL85292Medicare ID - Type Unspecified