Organization
C LANCE KANE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L KANE M.D. (OWNER)
(813) 350-0200
Entity
Organization
Contact information
Practice address
505 S HABANA AVE, TAMPA, FL 33609
(813) 350-0200
(813) 350-0890
Mailing address
505 S HABANA AVE, TAMPA, FL 33609
(813) 350-0200
(813) 350-0890
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME92609
FL
Other
Enumeration date
12/28/2007
Last updated
12/23/2008
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