Provider Demographics
NPI:1407938152
Name:JAVIER J. CANASI, M.D.,P.A.
Entity Type:Organization
Organization Name:JAVIER J. CANASI, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:CANASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-775-0335
Mailing Address - Street 1:900 VILLAGE SQUARE XING STE 130
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4547
Mailing Address - Country:US
Mailing Address - Phone:561-775-0335
Mailing Address - Fax:561-775-9492
Practice Address - Street 1:900 VILLAGE SQUARE XING STE 130
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4547
Practice Address - Country:US
Practice Address - Phone:561-775-0335
Practice Address - Fax:561-775-9492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME54757207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00155039OtherRAIL ROAD, MEDICARE PROV.
FL10876OtherBCBS FL PROV NO.
FL10876OtherBCBS FL PROV NO.
FL10876UMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
FL10876OtherBCBS FL PROV NO.