Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | ME0040310 | FL |
N | 2086S0129X | Vascular Surgeon | ME40910 | FL |
NPI | 1174548713 |
---|---|
Provider Name | Dr. Steven Roy Kanter |
First Address | Miami, FL 33176-2151 |
Second Address | Miami, FL 33176-2416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 30/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042544301 | (05) | FL |
D63984 | (02) | |
D63984 | (02) | FL |