# MICHAEL KANNER MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528345741
- **Authorized official:** MICHAEL KANNER MD PA (PHYSICIAN)
- **Authorized official phone:** (305) 937-2020

## Contact information

- **Practice address:** 4651 SHERIDAN ST STE 100, HOLLYWOOD, FL 33021-3459
- **Practice address phone:** (954) 894-1500
- **Practice address fax:** (954) 894-1526
- **Mailing address:** 4651 SHERIDAN ST STE 100, HOLLYWOOD, FL 33021-3459
- **Mailing address phone:** (954) 894-1500
- **Mailing address fax:** (954) 894-1526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 0042160 | FL | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 09/02/2020