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NPI Code Detail

MEDICARE: DR. DAVID K. CANTOR D.P.M.

MEDICARE:  DR. DAVID K. CANTOR  D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristPO000896FL
2213ES0103XFoot & Ankle Surgery PodiatristPO000896FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063472306
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID K. CANTOR D.P.M.
Provider Business Mailing Address
First Line : 8200 NW 27 ST
Second Line : STE 108
City : DORAL
State : FL
Zip : 33122-1906
Country : US
Telephone Number : 786-662-3893
Fax Number : 786-662-3899
Provider Business Practice Location Address
First Line : 8785 SW 165TH AVE
Second Line : SUITE 110
City : MIAMI
State : FL
Zip : 33193-5826
Country : US
Telephone Number : 305-385-9494
Fax Number : 305-385-1145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 07/14/2016

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Directions to “ DR. DAVID K. CANTOR D.P.M.” Practice Location

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