Provider Demographics
NPI:1790886273
Name:CANALI, PAUL J (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:CANALI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 N KENDALL DR
Mailing Address - Street 2:SUITE 412
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7564
Mailing Address - Country:US
Mailing Address - Phone:305-667-8174
Mailing Address - Fax:305-661-2327
Practice Address - Street 1:7700 N KENDALL DR
Practice Address - Street 2:SUITE 412
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7564
Practice Address - Country:US
Practice Address - Phone:305-667-8174
Practice Address - Fax:305-661-2327
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLCH3760111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88030OtherBC/BC
FLU30605Medicare UPIN
FL88030ZMedicare PIN