Individual
ANTONIO C CANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8726 NW 26TH ST, STE 5, DORAL, FL 33172-1628
(305) 456-7636
(305) 468-6363
Mailing address
8726 NW 26TH ST, STE 5, DORAL, FL 33172-1628
(305) 456-7636
(305) 468-6363
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME92396
FL
207RI0011X
Interventional Cardiology Physician
ME92396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274934300
—
FL
01
—
ME92396
STATE LICENSE
FL
Enumeration date
08/12/2005
Last updated
06/12/2019
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