Provider Demographics
NPI:1780795435
Name:CANTANDO, JOHN D (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:CANTANDO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4560 LANTANA RD STE 120
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6998
Mailing Address - Country:US
Mailing Address - Phone:561-433-4444
Mailing Address - Fax:561-433-8877
Practice Address - Street 1:4560 LANTANA RD STE 120
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-6998
Practice Address - Country:US
Practice Address - Phone:561-433-4444
Practice Address - Fax:561-433-8877
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS12942207T00000X
PAOS014141207T00000X
MO2006013528207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHYZ15ZMedicare PIN