Individual
DR. JOSE ATILIO CANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 390-3759
(904) 390-3429
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
ME89629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269357700
—
FL
Enumeration date
08/22/2006
Last updated
09/07/2011
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