Kanner, Andres M

Kanner, Andres M is an individual health care provider with primary practice located at 1475 Nw 12Th Ave , Miami FL 33136-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kanner, Andres M can be contacted via phone (305) 243-7520.

Contact Information

Primary practice address
1475 Nw 12Th Ave Miami FL 33136-1002
Phone: (305) 243-7520
Fax: (305) 243-4678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036082679 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME114160 Florida

Profile Details

NPI number 1619963246
LBN Legal business name Kanner, Andres M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 7th, 2023 - about last year

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 1619963246 NPPES
Illinois Other 336044952 IL DEPT OF PROF REG
Illinois MEDICAID 036082679 IL DEPT OF PROF REG

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