Provider Demographics
NPI:1730293051
Name:KANTER, LAURENCE D (MD)
Entity Type:Individual
Prefix:
First Name:LAURENCE
Middle Name:D
Last Name:KANTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19260 NATURES VIEW CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6220
Mailing Address - Country:US
Mailing Address - Phone:561-470-8157
Mailing Address - Fax:
Practice Address - Street 1:19260 NATURES VIEW CT
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6220
Practice Address - Country:US
Practice Address - Phone:561-470-8157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME49812207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03894Medicare ID - Type Unspecified
A02990Medicare UPIN