Individual
DR. ANDREW JOHN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
655 W 8TH ST, UFJP SJ COMMUNITY HEALTH CENTER, JACKSONVILLE, FL 32209-6511
(904) 244-5672
(904) 244-2270
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME38741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80062478
RAILROAD MEDICARE
FL
Enumeration date
03/28/2006
Last updated
09/11/2007
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