Individual
DR. JERRY STEVEN KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3949 EVANS AVENUE, SUITE 203, FORT MYERS, FL 33901
(239) 936-3202
(239) 936-4833
Mailing address
3949 EVANS AVENUE, SUITE 203, FORT MYERS, FL 33901
(239) 936-3202
(239) 936-4833
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0042162
FL
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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