Canlas, Richard L
Canlas, Richard L is an individual health care provider with primary practice located at 4500 Newberry Rd , Gainesville FL 32607-2245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Canlas, Richard L can be contacted via phone (352) 336-6000.Contact Information
Primary practice address
4500 Newberry Rd
Gainesville FL 32607-2245
Phone: (352) 336-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 43563-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | MD428036 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ME146676 | Florida |
Profile Details
| NPI number | 1114956372 |
|---|---|
| LBN Legal business name | Canlas, Richard L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Jun 23rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114956372 | NPPES |
| Pennsylvania | MEDICAID | 103459365 | |
| Pennsylvania | MEDICAID | 34134400 |
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