| Wilton R Kane MD | |
|
1705 E Manan Drive Tallahassee FL 32308 | |
| (850) 877-7164 | |
| (850) 656-1391 |
| Full Name | Wilton R Kane MD |
|---|---|
| Speciality | Family Medicine |
| Location | 1705 E Manan Drive, Tallahassee, Florida |
| Authorized Official Name and Position | Wilton R Kane (OWNER/MD) |
| Authorized Official Contact | 8508777164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilton R Kane MD 1705 E Manan Drive Tallahassee FL 32308 Ph: (850) 877-7164 | Wilton R Kane MD 1705 E Manan Drive Tallahassee FL 32308 Ph: (850) 877-7164 |
| NPI Number | 1891765947 |
|---|---|
| Provider Enumeration Date | 01/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891765947 | NPI | - | NPPES |
| 99391 | Other | FL | BCBS FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME7902 (Florida) | Primary |
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