Organization
ELIAS KANAAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIAS KANAAN MD (OWNER)
(727) 298-8426
Entity
Organization
Contact information
Practice address
1173 TURNER ST, CLEARWATER, FL 33756-4135
(727) 298-8496
(727) 445-7566
Mailing address
1173 TURNER ST, CLEARWATER, FL 33756-4135
(727) 298-8496
(727) 445-7566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252805300
—
FL
01
—
38165
BLUE CROSS
FL
Enumeration date
08/03/2006
Last updated
07/28/2010
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