Provider Demographics
NPI:1376954933
Name:CANET, MARIA PAMELA FRANCISCO
Entity Type:Individual
Prefix:
First Name:MARIA PAMELA
Middle Name:FRANCISCO
Last Name:CANET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 W SAMPLE RD APT 105
Mailing Address - Street 2:105
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3254
Mailing Address - Country:US
Mailing Address - Phone:561-713-4068
Mailing Address - Fax:
Practice Address - Street 1:5940 W SAMPLE RD APT 105
Practice Address - Street 2:105
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-3254
Practice Address - Country:US
Practice Address - Phone:561-713-4068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-16
Last Update Date:2014-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist