Kanski, Jeffrey W

Kanski, Jeffrey W is an individual health care provider with primary practice located at 5101 Okeechobee Rd , Fort Pierce FL 34947-5415. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Kanski, Jeffrey W can be contacted via phone (772) 595-5995.

Contact Information

Primary practice address
5101 Okeechobee Rd Fort Pierce FL 34947-5415
Phone: (772) 595-5995
Fax: (772) 595-5990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME83915 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME83915 Florida

Profile Details

NPI number 1326044496
LBN Legal business name Kanski, Jeffrey W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jan 5th, 2021 - about 4 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 1326044496 NPPES
Florida MEDICAID 26587800

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