DAVID M KANUCK D P M PA (NPI# 1174727812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174727812 |
| Entity Type | Organization |
| Organization Name | DAVID M KANUCK D P M PA |
| Practice Address |
3191 Harbor Blvd Ste B Port Charlotte FL 33952-6755 |
| Mailing Address |
8851 Boardroom Cir Fort Myers FL 33919-4888 |
| Practice Telephone | 2394817000 |
| Practice Fax Number | 2394818150 |
| Mailing Telephone | 2394817000 |
| Mailing Fax Number | 2394818150 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-03-03 |
| Authorized Official Name | DAVID M KANUCK (OWNER) |
| Authorized Official Telephone | 2394817000 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3295 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | DN6352 | 01 |
| Street Address |
3191 HARBOR BLVD STE B |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-6755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336134717 | Phillip V Carracher | Social Worker | 3191 Harbor Blvd, Suite A, Port Charlotte, FL 33952-6755 | 2005-09-13 |
| 1770063034 | Ellen Ferguson | Counselor | 3191 Harbor Blvd, Port Charlotte, FL 33952-6755 | 2018-08-16 |
| 1225400294 | Dna Comprehensive Therapy Services, LLC | Behavioral Analyst | 3191 Harbor Blvd, Suite A, Port Charlotte, FL 33952-6755 | 2015-10-29 |
| 1215275649 | Medic Infusion Pa | Podiatrist | 3191 Harbor Blvd, Unit D, Port Charlotte, FL 33952-6755 | 2013-01-18 |
| 1528354255 | Tetyana Metyk | Internal Medicine | 3191 Harbor Blvd, Port Charlotte, FL 33952-6755 | 2011-06-21 |
| 1619283033 | Charlotte County Medical Solutions Inc | Pain Medicine | 3191 Harbor Blvd, Suite C, Port Charlotte, FL 33952-6755 | 2010-08-23 |
| 1871770701 | Sandra Anne Landers | Social Worker | 3191 Harbor Blvd, Suite A, Port Charlotte, FL 33952-6755 | 2008-01-22 |
| 1093991101 | Medic Podiatry and Wound Care | Podiatrist | 3191 Harbor Blvd, Unit D, Port Charlotte, FL 33952-6755 | 2008-01-18 |
| 1053514604 | Delia G. Toledo | Psychiatry & Neurology | 3191 Harbor Blvd, Suite A, Port Charlotte, FL 33952-6755 | 2007-06-08 |
| 1932140928 | Patricia A Sullivan | Counselor | 3191 Harbor Blvd, Ste A, Port Charlotte, FL 33952 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332387 | David M Kanuck | Podiatrist | 18308 Murdock Cir, Ste 102, Port Charlotte, FL 33948-1025 | 2006-01-30 |
| 1386134799 | Foot & Ankle Center of Florida LLC | Podiatrist | 2400 Harbor Blvd Ste 11, Port Charlotte, FL 33952 | 2018-05-11 |
| 1215275649 | Medic Infusion Pa | Podiatrist | 3191 Harbor Blvd, Unit D, Port Charlotte, FL 33952-6755 | 2013-01-18 |
| 1023329331 | Peace River Ankle & Foot, Pl | Podiatrist | 3440 Conway Blvd, 1d, Port Charlotte, FL 33952-7000 | 2010-07-01 |
| 1689847063 | Mark S. Tracy, D.p.m., P.a. | Podiatrist | 3028 Caring Way, Ste 9, Port Charlotte, FL 33952-5300 | 2008-04-08 |
| 1649250887 | Ronald Alan Reifschneider | Podiatrist | 4120 Tamiami Trl, Suite D-2, Port Charlotte, FL 33952-9200 | 2006-01-20 |
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|---|---|---|---|---|
| 1720693120 | Mozhgan Alijani, Dpm, Pa | Podiatrist | 20515 E Country Club Dr Apt 544, Miami, FL 33180-3442 | 2020-09-11 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1306457841 | Asdj LLC | Podiatrist | 2190 Bridgeport Cir, Rockledge, FL 32955-4338 | 2020-08-10 |
| 1316557762 | Upperline Healthcare, PC | Podiatrist | 2111 Glenwood Dr Ste 104, Winter Park, FL 32792-3328 | 2020-07-31 |
| 1790395135 | Upperline Healthcare, PC | Podiatrist | 339 Cypress Pkwy Ste 240, Kissimmee, FL 34759-3315 | 2020-07-31 |
| 1952911398 | Upperline Healthcare, PC | Podiatrist | 250 N Alafaya Trl Ste 115, Orlando, FL 32828-4336 | 2020-07-31 |
| 1639789076 | Upperline Healthcare, PC | Podiatrist | 650 S Courtenay Pkwy Ste 200, Merritt Island, FL 32952-4977 | 2020-07-31 |
| 1972113314 | Upperline Healthcare, PC | Podiatrist | 8000 Red Bug Lake Rd Ste 230, Oviedo, FL 32765-9265 | 2020-07-31 |
| 1356950646 | Palm Beach Foot & Ankle Inc | Podiatrist | 8130 Royal Palm Blvd Ste 205, Coral Springs, FL 33065-5703 | 2020-07-23 |
| 1720601891 | Yohandy Fuentes Dpm Pa | Podiatrist | 5200 Sw 8th St Ste 201a, Coral Gables, FL 33134-2337 | 2020-05-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on DAVID M KANUCK D P M PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.