Individual
JEFFREY W KANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5101 OKEECHOBEE RD, FORT PIERCE, FL 34947-5415
(772) 595-5995
(772) 595-5990
Mailing address
2845 PGA BLVD, PALM BEACH GARDENS, FL 33410-2910
(561) 693-0540
(561) 296-6174
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME83915
FL
2085R0001X
Radiation Oncology Physician
Primary
ME83915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26587800
—
FL
Enumeration date
06/23/2005
Last updated
01/05/2021
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