Glenn S Kanamori, MD | |
1717 S Orange Ave Ste 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 | |
(407) 650-7715 | |
(407) 650-7124 |
Full Name | Glenn S Kanamori |
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Gender | Male |
Speciality | Otolaryngology - Pediatric Otolaryngology |
Location | 1717 S Orange Ave Ste 100, Orlando, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1972697357 | NPI | - | NPPES |
00G650260 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | G65026 (California) | Secondary |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | ME115604 (Florida) | Primary |
Entity Name | The Nemours Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386658615 PECOS PAC ID: 9537072483 Enrollment ID: O20040109000252 |
Mailing Address | Practice Location Address |
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Glenn S Kanamori, MD Po Box 191, Provider Enrollment Department, Rockland, DE 19732-0191 Ph: (302) 651-4488 | Glenn S Kanamori, MD 1717 S Orange Ave Ste 100, Nemours Childrens Clinic, Orlando, Orlando, FL 32806-2946 Ph: (407) 650-7715 |
Eric Michael Jaryszak, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 1507 S Hiawassee Rd, Ste. 103, Orlando, FL 32835 Phone: 407-253-1000 Fax: 407-253-1010 | |
Paul A. Levine, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 711 Alba Dr, Orlando, FL 32804 Phone: 434-466-6767 | |
Javan Jonathon Nation, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 401 N Mills Ave Ste C, Orlando, FL 32803 Phone: 407-821-3655 | |
Don S Respler, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 401 N Mills Ave Ste C, Orlando, FL 32803 Phone: 407-821-3655 | |
Dale C Harrington, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5830 Lake Underhill Rd, Orlando, FL 32807 Phone: 407-658-0228 Fax: 407-282-5483 | |
Halla F Shami Sher, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 630 Vassar St, Unit #2205, Orlando, FL 32804 Phone: 352-205-6341 | |
Joshua A. Gottschall, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1507 S Hiawassee Rd, Orlando, FL 32835 Phone: 407-253-1000 Fax: 407-253-1010 |