Robert Stephen Kanner
Gastroenterologist
4800 Belfort Rd
Jacksonville
, Florida 32256-6004
Robert Stephen Kanner
Gastroenterologist
4800 Belfort Rd
Jacksonville
, Florida 32256-6004
(904) 396-4047
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Robert Stephen Kanner
- 4800 Belfort Rd
- Jacksonville, FL
- Zip : 32256-6004
- Fax : (904) 396-4047
- Phone : (904) 398-7205
Second Address
- Robert Stephen Kanner
- 4800 Belfort Rd
- Jacksonville, FL
- Zip : 32256-6004
- Fax : (904) 396-4047
- Phone : (904) 398-7205
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | ME29405 | FL |
National Provider Identifier
| NPI | 1053313700 |
|---|---|
| Provider Name | Robert Stephen Kanner |
| First Address | Jacksonville, FL 32256-6004 |
| Second Address | Jacksonville, FL 32256-6004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2005 |
| Last Update Date | 24/05/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 065136200 | (05) | FL |
| 100003106 | MEDICARE, RAILROAD (01) | FL |
| D52601 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.