Provider Demographics
NPI:1619714268
Name:CENATUS HEALTH CARE LLC
Entity type:Organization
Organization Name:CENATUS HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HERVE
Authorized Official - Middle Name:J
Authorized Official - Last Name:CENATUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-550-0777
Mailing Address - Street 1:4182 NORTH ARMENIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607
Mailing Address - Country:US
Mailing Address - Phone:813-550-0777
Mailing Address - Fax:813-855-2662
Practice Address - Street 1:4182 NORTH ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:813-855-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty