| Elias A M Feanny Md Pa | |
|
9275 Sw 152 Street Suite 101 Miami FL 33157 | |
| (305) 253-8869 | |
| (305) 233-9726 |
| Full Name | Elias A M Feanny Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 9275 Sw 152 Street, Miami, Florida |
| Authorized Official Name and Position | Elias Anthony Feanny (MEDICAL DOCTOR) |
| Authorized Official Contact | 3052538869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elias A M Feanny Md Pa 9275 Sw 152nd St Suite 101 Palmetto Bay FL 33157-1701 Ph: (305) 253-8869 | Elias A M Feanny Md Pa 9275 Sw 152 Street Suite 101 Miami FL 33157 Ph: (305) 253-8869 |
| NPI Number | 1386949345 |
|---|---|
| Provider Enumeration Date | 01/21/2011 |
| Last Update Date | 08/20/2013 |
| Medicare PECOS PAC ID | 3476731340 |
|---|---|
| Medicare Enrollment ID | O20110623000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386949345 | NPI | - | NPPES |
| 250480100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME76407 (Florida) | Primary |
| Provider Name | Elias A Feanny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003869918 PECOS PAC ID: 2466630330 Enrollment ID: I20110623000322 |
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