Individual
ANDRONIKI KANAROGLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10301 HAGEN RANCH RD, SUITE C130, BOYTON BEACH, FL 33437
(561) 736-7313
(561) 736-2309
Mailing address
1300 SAWGRASS CORPORATE PKWY STE 200, SUNRISE, FL 33323-2823
(800) 243-3839
(855) 527-5510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
FL
2088P0231X
Pediatric Urology Physician
Primary
ME120235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011989900
—
FL
Enumeration date
05/28/2014
Last updated
03/09/2018
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