Organization
MICHAEL KANNER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KANNER MD PA (PHYSICIAN)
(305) 937-2020
Entity
Organization
Contact information
Practice address
4651 SHERIDAN ST STE 100, HOLLYWOOD, FL 33021-3459
(954) 894-1500
(954) 894-1526
Mailing address
4651 SHERIDAN ST STE 100, HOLLYWOOD, FL 33021-3459
(954) 894-1500
(954) 894-1526
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0042160
FL
Other
Enumeration date
11/16/2011
Last updated
09/02/2020
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