Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO000896 | FL |
N | 222Z00000X | Podiatrist | PO000896 | FL |
Y | 213ES0103X | Foot & Ankle Surgery | PO000896 | FL |
NPI | 1063472306 |
---|---|
Provider Name | Dr. David K. Cantor |
First Address | Doral, FL 33122-1906 |
Second Address | Miami, FL 33193-5826 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 14/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
390263301 | (05) | FL |
T55448 | (02) | FL |