# ELIAS KANAAN MD PA

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

## Provider details

- **NPI number:** 1538177928
- **Authorized official:** ELIAS KANAAN MD (OWNER)
- **Authorized official phone:** (727) 298-8426

## Contact information

- **Practice address:** 1173 TURNER ST, CLEARWATER, FL 33756-4135
- **Practice address phone:** (727) 298-8496
- **Practice address fax:** (727) 445-7566
- **Mailing address:** 1173 TURNER ST, CLEARWATER, FL 33756-4135
- **Mailing address phone:** (727) 298-8496
- **Mailing address fax:** (727) 445-7566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2006
- **Last updated:** 07/28/2010