Provider Demographics
NPI:1215134846
Name:CASANOVA, ADRIANA M (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:M
Last Name:CASANOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ADRIANA
Other - Middle Name:M
Other - Last Name:CASANOVA-DELGADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:603 7TH ST S STE 400
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4734
Mailing Address - Country:US
Mailing Address - Phone:727-553-7420
Mailing Address - Fax:727-553-7419
Practice Address - Street 1:603 7TH ST S STE 400
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-4734
Practice Address - Country:US
Practice Address - Phone:727-553-7420
Practice Address - Fax:727-553-7419
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME94369207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL023152000Medicaid
FL278682600Medicaid
FLP00443857OtherRAILROAD MEDICARE PROV NO