# ELIAS A M FEANNY MD PA

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

## Provider details

- **NPI number:** 1386949345
- **Authorized official:** DR. ELIAS ANTHONY FEANNY M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (305) 253-8869

## Contact information

- **Practice address:** 9275 SW 152 STREET, SUITE 101, MIAMI, FL 33157
- **Practice address phone:** (305) 253-8869
- **Practice address fax:** (305) 233-9726
- **Mailing address:** 9275 SW 152ND ST, SUITE 101, PALMETTO BAY, FL 33157-1701
- **Mailing address phone:** (305) 253-8869
- **Mailing address fax:** (305) 233-9726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME76407 | FL | Yes |

## Other

- **Enumeration date:** 01/21/2011
- **Last updated:** 08/20/2013
