Provider Demographics
NPI:1104085901
Name:CANER, RAUL O (MD)
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:O
Last Name:CANER
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 1:8333 W MCNAB RD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-3242
Mailing Address - Country:US
Mailing Address - Phone:754-222-8524
Mailing Address - Fax:754-222-8596
Practice Address - Street 1:8333 W MCNAB RD
Practice Address - Street 2:SUITE 113
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3242
Practice Address - Country:US
Practice Address - Phone:754-222-8524
Practice Address - Fax:754-222-8596
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2013-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1092020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine