Individual
DR. JEFFREY BRUCE KANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11011 SHERIDAN ST, SUITE 109, COOPER CITY, FL 33026-1505
(954) 961-8400
(954) 961-8401
Mailing address
4700 SHERIDAN ST, SUITE M, HOLLYWOOD, FL 33021-3420
(954) 961-8400
(954) 961-8401
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME73251
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254942500
—
FL
Enumeration date
08/09/2005
Last updated
05/24/2016
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