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Contact Information

RICHARD L CANLAS, MD
4500 NEWBERRY RD
GAINESVILLE, FL32607-2245
 Phone: 352-336-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RICHARD L CANLAS · (Male)

NPI Number 1114956372
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2006
Last updated 06/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME146676
  • PA License # MD428036
  • WI License # 43563-020
  • PA Medicaid 103459365
  • WI Medicaid 34134400
Hospital affiliation(s)
  • LAKE CITY MEDICAL CENTER - (Acute Care)
    340 NW COMMERCE DR
    LAKE CITY, FL 32055
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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