Simon Canellas, Jose Miguel

Simon Canellas, Jose Miguel is an individual health care provider with primary practice located at 3850 Sw 87Th Ave Suite 306, Miami FL 33165-5474. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Simon Canellas, Jose Miguel can be contacted via phone (305) 608-0656.

Contact Information

Primary practice address
3850 Sw 87Th Ave Suite 306 Miami FL 33165-5474
Phone: (305) 608-0656
Fax: (786) 254-7084
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X ME112149 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME112149 Florida

Profile Details

NPI number 1730370768
LBN Legal business name Simon Canellas, Jose Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Nov 29th, 2017 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730370768 NPPES
Florida MEDICAID 006437100

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