Kanner, Michael
Kanner, Michael is an individual health care provider with primary practice located at 4651 Sheridan St Ste 100 , Hollywood FL 33021-3459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kanner, Michael can be contacted via phone (954) 894-1500.Contact Information
Primary practice address
4651 Sheridan St Ste 100
Hollywood FL 33021-3459
Phone: (954) 894-1500
Fax: (954) 894-1526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ME0042160 | Florida |
Profile Details
| NPI number | 1134184740 |
|---|---|
| LBN Legal business name | Kanner, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Sep 2nd, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134184740 | NPPES |
| Florida | MEDICAID | 373342400 |
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