Organization
LINA KANJ MD PA
Active
Organization
LINA KANJ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINA KANJ M.D. (PRESIDENT)
(321) 724-1319
Entity
Organization
Contact information
Practice address
1936 DAIRY RD, WEST MELBOURNE, FL 32904-4046
(321) 724-1319
(321) 724-1776
Mailing address
PO BOX 412017, MELBOURNE, FL 32941-2017
(321) 724-1319
(321) 724-1776
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME85500
FL
Other
Enumeration date
06/26/2008
Last updated
12/04/2008
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