Provider Demographics
NPI:1952894594
Name:CADENZA MEDICAL CLINIC, LLC
Entity Type:Organization
Organization Name:CADENZA MEDICAL CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:ENAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-322-0917
Mailing Address - Street 1:5080 ANNUNCIATION CIR
Mailing Address - Street 2:
Mailing Address - City:AVE MARIA
Mailing Address - State:FL
Mailing Address - Zip Code:34142-9648
Mailing Address - Country:US
Mailing Address - Phone:239-322-0917
Mailing Address - Fax:239-658-5143
Practice Address - Street 1:5080 ANNUNCIATION CIR
Practice Address - Street 2:
Practice Address - City:AVE MARIA
Practice Address - State:FL
Practice Address - Zip Code:34142-9648
Practice Address - Country:US
Practice Address - Phone:239-322-0917
Practice Address - Fax:239-658-5143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-08
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service