Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME24067 | FL |
NPI | 1033174156 |
---|---|
Provider Name | Daniel R Kanell |
First Address | Fort Lauderdale, FL 33309-3763 |
Second Address | Fort Lauderdale, FL 33316-2509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 10/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
268870100 | (05) | FL |
D60282 | (02) |