Healthcare Provider Details

I. General information

NPI: 1386639508
Provider Name (Legal Business Name): JEFFREY B CANTOR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2005
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 BAYVIEW DR STE 100
FT LAUDERDALE FL
33306-1772
US

IV. Provider business mailing address

PO BOX 20802
BELFAST ME
04915-4105
US

V. Phone/Fax

Practice location:
  • Phone: 954-567-1332
  • Fax: 954-537-7705
Mailing address:
  • Phone: 888-402-7256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME64304
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberME0064304
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: