# ANA M ELOSEGUI MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114334125
- **Authorized official:** ANA M ELOSEGUI M.D (PRESIDENT)
- **Authorized official phone:** (305) 261-5454

## Contact information

- **Practice address:** 85 GRAND CANAL DR, SUITE 310, MIAMI, FL 33144-2570
- **Practice address phone:** (305) 261-5454
- **Practice address fax:** (305) 261-5455
- **Mailing address:** 85 GRAND CANAL DR, SUITE 310, MIAMI, FL 33144-2570
- **Mailing address phone:** (305) 261-5454
- **Mailing address fax:** (305) 261-5455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME 85963 | FL | Yes |

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 07/29/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ME 85963 | LICENSE | FL |