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Contact Information

KRYSTAL K CASANOVA ENCARNACION, APRN.
16230 SUMMERLIN RD STE 215
FORT MYERS, FL33908-5769
 Phone: 239-343-7474
 Fax: 239-343-4190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics, Critical Care

363LP0222X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KRYSTAL K CASANOVA ENCARNACION · (Female)

NPI # 1568022523
Status Active
Credentials APRN.
Entity Individual
Enumeration date 06/20/2019
Last updated 02/11/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # APRN11002846
  • FL Medicaid 103687500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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