Healthcare Provider Details

I. General information

NPI: 1124167168
Provider Name (Legal Business Name): JULIE KANTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 NW 19TH STREET
MIAMI FL
33136
US

IV. Provider business mailing address

6505 CABALLERO BLVD
CORAL GABLES FL
33146-3222
US

V. Phone/Fax

Practice location:
  • Phone: 305-555-1111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License NumberME105194
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2006-0334
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: