Active NPI
Samuel Neal Cantor, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Pembroke Pines, FL
National Provider Identifier
1629055256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO1051
- Practice address
- 601 N Flamingo Rd
Suite 403
Pembroke Pines, FL 33028-1012 - Phone
- (954) 443-5757
- Fax
- (954) 374-8883
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO1051 | FL | Primary |
Addresses
Primary practice location
601 N Flamingo Rd
Suite 403
Pembroke Pines, FL 33028-1012
Mailing address
8200 NW 27 St
Ste 108
Doral, FL 33122-1906
Phone (786) 662-3893
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO-1051 | Other | FL | STATE LICENSE NUMBER |
| 041286400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1629055256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 NW 27 ST",
"address_2": "STE 108",
"city": "DORAL",
"state": "FL",
"postal_code": "331221906",
"telephone_number": "786-662-3893",
"fax_number": "786-662-3899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N FLAMINGO RD",
"address_2": "SUITE 403",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281012",
"telephone_number": "954-443-5757",
"fax_number": "954-374-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTOR",
"first_name": "SAMUEL",
"middle_name": "NEAL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO1051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PO-1051",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041286400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.