Individual
DAVID CHANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20801 NW 2ND AVE, MIAMI, FL 33169
(305) 653-1770
(786) 725-3453
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(305) 621-0023
(305) 623-9188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME58914
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26696Z
MEDICARE ID
FL
Enumeration date
09/12/2006
Last updated
10/21/2019
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