Male or Other

Mr. Luis Cantor

Medical Physician Assistant in Melbourne, FL(View on Map)

Full Name

Mr. Luis Cantor

NPI Number

1295353670

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/11/2020

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9113587

Contact
Information

Purpose

Mailing
Location

Address

1541 S WICKHAM RD
1541 S WICKHAM RD

City

Melbourne
Melbourne

State

FL
FL

Postal Code

32904-3540
32904-3540

Country

US
US

Telephone Number

(321) 726-6331
(321) 726-6331

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/17/2021

Provider Address

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