Provider Demographics
NPI:1992258784
Name:CANTER, STEVE
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:CANTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23518
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33307-3518
Mailing Address - Country:US
Mailing Address - Phone:888-611-6337
Mailing Address - Fax:
Practice Address - Street 1:220 NE 38TH ST
Practice Address - Street 2:#12
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-6302
Practice Address - Country:US
Practice Address - Phone:561-859-5205
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy