Organization
ELIAS A M FEANNY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS ANTHONY FEANNY M.D. (MEDICAL DOCTOR)
(305) 253-8869
Entity
Organization
Contact information
Practice address
9275 SW 152 STREET, SUITE 101, MIAMI, FL 33157
(305) 253-8869
(305) 233-9726
Mailing address
9275 SW 152ND ST, SUITE 101, PALMETTO BAY, FL 33157-1701
(305) 253-8869
(305) 233-9726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME76407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250480100
—
FL
Enumeration date
01/21/2011
Last updated
08/20/2013
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