Provider Demographics
NPI:1619731528
Name:CASAS BARON, PEDRO MICHAEL (APRN)
Entity Type:Individual
Prefix:
First Name:PEDRO
Middle Name:MICHAEL
Last Name:CASAS BARON
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 NW 38TH PL
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-2715
Mailing Address - Country:US
Mailing Address - Phone:786-709-7646
Mailing Address - Fax:
Practice Address - Street 1:220 NW 38TH PL
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-2715
Practice Address - Country:US
Practice Address - Phone:786-709-7646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11030892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily