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Organization

DAVID M KANUCK D P M PA

Active
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Organization

DAVID M KANUCK D P M PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID M KANUCK DPM (OWNER)
(239) 481-7000
Entity
Organization

Contact information

Practice address
3191 HARBOR BLVD, STE B, PORT CHARLOTTE, FL 33952-6755
(239) 481-7000
(239) 481-8150
Mailing address
8851 BOARDROOM CIR, FORT MYERS, FL 33919-4888
(239) 481-7000
(239) 481-8150

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO3295
FL

Other

Enumeration date
06/14/2007
Last updated
03/03/2011
About Stedi
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