Individual
ELLERY E CANLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 S COURTENAY PKWY, MERRITT ISLAND, FL 32952-4831
(321) 453-5326
(321) 452-8507
Mailing address
571 WETHERSFIELD PL, MELBOURNE, FL 32940-1879
(321) 622-4752
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME101792
FL
Other
Enumeration date
10/10/2006
Last updated
10/26/2011
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