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ANDRONIKI KANAROGLOU MD
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1083026868
Individual Registrant: ANDRONIKI KANAROGLOU MD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
10301 HAGEN RANCH RD SUITE C130 BOYTON BEACH, FL 33437 US
Tel: 561-736-7313 Fax: 561-736-2309
Tel: 561-736-7313 Fax: 561-736-2309
Contact information for business:
1300 SAWGRASS CORPORATE PKWY STE 200 SUNRISE, FL 33323-2823 US
Tel: 800-243-3839 Fax: 855-527-5510
Tel: 800-243-3839 Fax: 855-527-5510
Registration Information:
NPI: 1083026868
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 174400000X | Other Service Providers Specialist | FL | |
| Y | 2088P0231X | Allopathic & Osteopathic Physicians Urology | FL | ME120235 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 011989900 | FL | 05 |
