Basic Information
| Provider Information | |||||||||
| NPI: | 1427375864 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAIN | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | HENRY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 NW 49TH STREET | ||||||||
| Address2: | SUITE 125 | ||||||||
| City: | FORT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333093763 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547636655 | ||||||||
| FaxNumber: | 9547636799 | ||||||||
| Practice Location | |||||||||
| Address1: | 1601 S ANDREWS AVE FL 3 | ||||||||
| Address2: | |||||||||
| City: | FT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333162509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9547636655 | ||||||||
| FaxNumber: | 9547636799 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2010 | ||||||||
| LastUpdateDate: | 07/25/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207T00000X | ME130535 | FL | Y | Allopathic & Osteopathic Physicians | Neurological Surgery |
No ID Information.