Organization
KANAN MEDICAL, LLC
Active
Other names
AltamonteMD
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA KANAN (COO)
(407) 767-0009
Entity
Organization
Contact information
Practice address
460 E ALTAMONTE DR, SUITE 2200, ALTAMONTE SPRINGS, FL 32701-4612
(407) 767-0009
(407) 767-0022
Mailing address
460 E ALTAMONTE DR, SUITE 2200, ALTAMONTE SPRINGS, FL 32701-4612
(407) 767-0009
(407) 767-0022
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023512400
—
FL
Enumeration date
08/01/2016
Last updated
07/25/2022
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