Individual
DR. ANDRES M KANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-7520
(305) 243-4678
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-7520
(305) 243-4678
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036082679
IL
2084N0400X
Neurology Physician
Primary
ME114160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082679
—
IL
01
—
336044952
IL DEPT OF PROF REG
IL
Enumeration date
09/20/2005
Last updated
03/07/2023
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