De Canniere, Didier Pierre

De Canniere, Didier Pierre is an individual health care provider with primary practice located at 1611 Nw 12Th Ave Suite Central 3, Miami FL 33136-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. De Canniere, Didier Pierre can be contacted via phone (305) 585-5271.

Contact Information

Primary practice address
1611 Nw 12Th Ave Suite Central 3 Miami FL 33136-1005
Phone: (305) 585-5271
Fax: (305) 547-2185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MFC1652 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MFC1652 Florida

Profile Details

NPI number 1235455213
LBN Legal business name De Canniere, Didier Pierre
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2010
Last updated May 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235455213 NPPES
Florida MEDICAID 0020899-00

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