Provider Demographics
NPI:1063472306
Name:CANTOR, DAVID K (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:K
Last Name:CANTOR
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:8200 NW 27 ST
Mailing Address - Street 2:STE 108
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1906
Mailing Address - Country:US
Mailing Address - Phone:786-662-3893
Mailing Address - Fax:786-662-3899
Practice Address - Street 1:8785 SW 165TH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-5826
Practice Address - Country:US
Practice Address - Phone:305-385-9494
Practice Address - Fax:305-385-1145
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2016-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPO000896213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390263301Medicaid
FL390263301Medicaid
FL87568VMedicare PIN