| Steven Kanner Do Pllc | |
|
2051 45th St Ste 303 West Palm Beach FL 33407-2031 | |
| (561) 863-8301 | |
| (561) 863-8304 |
| Full Name | Steven Kanner Do Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2051 45th St Ste 303, West Palm Beach, Florida |
| Authorized Official Name and Position | Adriana Ucros (BILLING MANAGER) |
| Authorized Official Contact | 5613194181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Kanner Do Pllc 2051 45th St Ste 303 West Palm Beach FL 33407-2031 Ph: (561) 863-8301 | Steven Kanner Do Pllc 2051 45th St Ste 303 West Palm Beach FL 33407-2031 Ph: (561) 863-8301 |
| NPI Number | 1164859369 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 10/14/2013 |
| Medicare PECOS PAC ID | 5092940601 |
|---|---|
| Medicare Enrollment ID | O20131106000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164859369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven L Kanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053306969 PECOS PAC ID: 4981698420 Enrollment ID: I20040408001173 |
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