Basic Information
| Provider Information | |||||||||
| NPI: | 1699200980 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NOLAN RUAS REGO CANHA | ||||||||
| FirstName: | CATARINA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 653-1 WEST 8TH STREET, BOX L18 | ||||||||
| Address2: | UF COLLEGE OF MEDICINE-JACKSONVILLE. 4TH FLOOR, LRC. | ||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9042443094 | ||||||||
| FaxNumber: | 9042444685 | ||||||||
| Practice Location | |||||||||
| Address1: | 653-1 WEST 8TH STREET, BOX L18 | ||||||||
| Address2: | UF COLLEGE OF MEDICINE-JACKSONVILLE. 4TH FLOOR, LRC. | ||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9042443094 | ||||||||
| FaxNumber: | 9042444685 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2017 | ||||||||
| LastUpdateDate: | 08/01/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.