Individual
CORNELIUS HUGH SCANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 NE 26TH ST, MEDICAL MULTI SPECIALTY GRP, WILTON MANORS, FL 33305-1322
(954) 749-1616
(954) 749-1639
Mailing address
1402 NE 26TH ST, WILTON MANORS, FL 33305-1322
(954) 749-1616
(954) 749-1639
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME90980
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920512385813
—
FL
Enumeration date
04/25/2006
Last updated
01/04/2017
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