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Individual

DR. DANIEL KAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4056 E SR 44, WILDWOOD, FL 34785-7486
(352) 268-0003
(855) 642-1129
Mailing address
753 HIGHWAY 466, LADY LAKE, FL 32159-6340
(352) 268-0003
(855) 642-1129

Taxonomy

Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
MD0000038597
TN
2084P0802X
Addiction Psychiatry Physician
Primary
ME41683
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042166900
FL
01
N0608
MEDICARE
FL
Enumeration date
06/30/2006
Last updated
08/12/2021
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