Kanan Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KANAN MEDICAL, LLC

Doing business as

Orange City MD

Practice address

2705 Rebecca LN Ste a
Orange City, FL 32763-8336

Phone

(407) 767-0009

Fax

(407) 767-0022

NPI assigned

Aug 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rhonda Kanan

Title

President

Phone

(407) 767-0009

Specialties & licenses 3

Addresses

Other names 1

• Orange City MD Doing business as

Tax ID family

Kanan Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kanan Medical, LLC

  • Family Medicine Physician
  • New Smyrna Beach, FL
  • NPI 1962179507
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1700553344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 E ALTAMONTE DR STE 2200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014653",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 REBECCA LN STE A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638336",
            "telephone_number": "407-767-0009",
            "fax_number": "407-767-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANAN MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A",
        "authorized_official_last_name": "KANAN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-767-0009"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange City MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David V Joseph, MD
• Judy Cella Counseling & Psychotherapy
• Sherryl Juman, RPH
• Rocky Justice II, D.C.
• Corey Kalish
• Anuradha Kantamneni, M.D.
• Alejandra Kates, DDS
• Zachary Kearney
• Korbin Joseph Keene, PT, DPT, ATC
• Amy Sue Kelley, MD

• Family Medicine Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.