MEDICARE: DR. JOHN D CANTANDO DO

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
1	207T00000X	Neurological Surgery Physician	OS12942	FL
2	207T00000X	Neurological Surgery Physician	OS014141	PA
3	207T00000X	Neurological Surgery Physician	2006013528	MO

Other Identifiers

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

General Provider Information

NPI Number	:	1780795435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN D CANTANDO DO

Provider Business Mailing Address
First Line	:	4560 LANTANA RD STE 120
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-6998
Country	:	US
Telephone Number	:	561-433-4444
Fax Number	:	561-433-8877

Provider Business Practice Location Address
First Line	:	4560 LANTANA RD STE 120
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-6998
Country	:	US
Telephone Number	:	561-433-4444
Fax Number	:	561-433-8877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	12/03/2024

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Directions to “ DR. JOHN D CANTANDO DO” Practice Location

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