DAVID M KANUCK (NPI# 1558332387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558332387 |
| Entity Type | Individual |
| Full Name | DAVID M KANUCK |
| Credential | D P M PA |
| Practice Address |
18308 Murdock Cir Ste 102 Port Charlotte FL 33948-1025 |
| 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 | 2006-01-30 |
| Last Update Date | 2017-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 | P00630109 | 01 |
| FL | LICENSE | PO3295 | 01 |
| FL | TAX ID | 14-1989478 | 01 |
| Street Address |
18308 MURDOCK CIR STE 102 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417360918 | 21st Century Oncology LLC | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2014-06-03 |
| 1700217460 | Bayshore Pathology Consultants Pa | Pathology | 18308 Murdock Cir, Ste 105, Port Charlotte, FL 33948-1025 | 2013-12-06 |
| 1467889667 | Genesiscare Usa of Florida LLC | Surgery | 18308 Murdock Cir, Suite 105, Port Charlotte, FL 33948-1025 | 2013-10-02 |
| 1689011488 | Ultimate Wellness Rehab LLC | Physical Therapy Assistant | 18308 Murdock Cir, Ste 107, Port Charlotte, FL 33948-1025 | 2013-06-03 |
| 1033441001 | Alejandro J. Gruneiro M.d. P.a. | Specialist | 18308 Murdock Cir, 109, Port Charlotte, FL 33948-1008 | 2010-02-02 |
| 1427138239 | Karen Cagen Zusman | Occupational Therapist | 18308 Murdock Cir, Port Charlotte, FL 33948-1025 | 2006-10-16 |
| 1114962248 | Steven Bradley Goldin | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2006-06-20 |
| 1407819295 | Matthew R. Bagan | Surgery | 18308 Murdock Cir, Unit 105, Port Charlotte, FL 33948-1025 | 2006-04-11 |
| 1588633549 | Alejandro J. Gruneiro | Surgery | 18308 Murdock Cir, 109, Port Charlotte, FL 33948-1008 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1174727812 | David M Kanuck D P M Pa | Podiatrist | 3191 Harbor Blvd, Ste B, Port Charlotte, FL 33952-6755 | 2007-06-14 |
| 1649250887 | Ronald Alan Reifschneider | Podiatrist | 4120 Tamiami Trl, Suite D-2, Port Charlotte, FL 33952-9200 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 33948 |
Please comment or provide details below to improve the information on DAVID M KANUCK.
| 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.