MICHAEL KANNER MD PA (NPI# 1528345741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528345741 |
| Entity Type | Organization |
| Organization Name | MICHAEL KANNER MD PA |
| Practice Address |
4651 Sheridan St Ste 100 Hollywood FL 33021-3459 |
| Practice Telephone | 9548941500 |
| Practice Fax Number | 9548941526 |
| Mailing Telephone | 9548941500 |
| Mailing Fax Number | 9548941526 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | MICHAEL KANNER (PHYSICIAN) |
| Authorized Official Telephone | 3059372020 |
| Authorized Official Credential | MD PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0042160 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4651 SHERIDAN ST STE 100 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134184740 | Michael Kanner | Ophthalmology | 4651 Sheridan St Ste 100, Hollywood, FL 33021-3459 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043446891 | Rop Consultans of South Florida, P.a. | Ophthalmology | 2740 Hollywood Blvd, Hollywood, FL 33020-4826 | 2009-06-08 |
| 1457513236 | Amit Rakesh Bhatt | Ophthalmology | 4201 N Ocean Dr, Apartment 404, Hollywood, FL 33019-4009 | 2008-07-02 |
| 1770781502 | Gary Shienbaum | Ophthalmology | 7261 Sheridan St Ste 320, Hollywood, FL 33024-2708 | 2007-07-03 |
| 1972684306 | Inna Ozerov | Ophthalmology | 7700 Davie Road Ext, Hollywood, FL 33024-2516 | 2006-10-19 |
| 1558478586 | Russell M Wolfe | Ophthalmology | 3419 Johnson St, Hollywood, FL 33021 | 2006-08-24 |
| 1285741298 | Gary R Hopen | Ophthalmology | 3419 Johnson St., Hollywood, FL 33021 | 2006-08-24 |
| 1306871249 | David Goldberger | Ophthalmology | 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 | 2006-07-11 |
| 1134184740 | Michael Kanner | Ophthalmology | 4651 Sheridan St Ste 100, Hollywood, FL 33021-3459 | 2006-04-18 |
| 1053308460 | Alan D Mendelsohn | Ophthalmology | 4651 Sheridan St, Suite 100, Hollywood, FL 33021-3457 | 2005-09-30 |
| 1962499376 | Mark S Dorfman | Ophthalmology | 300 S Park Rd Ste 300, Hollywood, FL 33021-8353 | 2005-09-30 |
| Find all providers in HOLLYWOOD | ||||
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| 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.