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)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