| Elias Kanaan Md Pa | |
|
1173 Turner St Clearwater FL 33756-4135 | |
| (727) 298-8496 | |
| (727) 445-7566 |
| Full Name | Elias Kanaan Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1173 Turner St, Clearwater, Florida |
| Authorized Official Name and Position | Elias Kanaan (OWNER) |
| Authorized Official Contact | 7272988426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elias Kanaan Md Pa 1173 Turner St Clearwater FL 33756-4135 Ph: (727) 298-8496 | Elias Kanaan Md Pa 1173 Turner St Clearwater FL 33756-4135 Ph: (727) 298-8496 |
| NPI Number | 1538177928 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 07/28/2010 |
| Medicare PECOS PAC ID | 8224094941 |
|---|---|
| Medicare Enrollment ID | O20041204000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538177928 | NPI | - | NPPES |
| 252805300 | Medicaid | FL | |
| 38165 | Other | FL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Elias Kanaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265409486 PECOS PAC ID: 7315934296 Enrollment ID: I20040430000867 |
| Provider Name | Mouna Bacha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568439941 PECOS PAC ID: 6800080672 Enrollment ID: I20101105000392 |
| Provider Name | Nicole Frances Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982072336 PECOS PAC ID: 4486943438 Enrollment ID: I20160516001168 |
| Provider Name | Crystal Gertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477240596 PECOS PAC ID: 3870930985 Enrollment ID: I20240425004122 |
| Provider Name | Safira Barmanwalla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952034472 PECOS PAC ID: 7416394556 Enrollment ID: I20240509003787 |
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