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Organization

KANAN MEDICAL, LLC

Active
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Organization

KANAN MEDICAL, LLC

Active
Other names
New Smyrna Beach MD
Organization subpart
No

Provider details

NPI number
Authorized official
RHONDA KANAN (PRESIDENT)
(407) 376-1383
Entity
Organization

Contact information

Practice address
265 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169-5239
(386) 387-2202
(407) 767-0022
Mailing address
460 E ALTAMONTE DR STE 2200, ALTAMONTE SPRINGS, FL 32701-4653
(407) 767-0009
(407) 767-0022

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—

Other

Enumeration date
08/23/2021
Last updated
08/23/2021
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