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Adil Mohamed Sanaulla

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as ADIL SANAULLA.

Based on the most recent information from CMS, provider Adil Mohamed Sanaulla is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1295738698
Provider Type
Individual
Full Name
Sanaulla, Adil Mohamed
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/31/2005
Last Updated
7/8/2007

Contact Information

Practice Location

350 7th St N, Naples, FL 34102-5754

(239) 436-5000

Unlisted Fax

Mailing Location

7853 NW 60th Ln, Parkland, FL 33067-3325

(954) 757-0972

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME83871 Florida

Provider Identifiers

ID	Description	Issuer
ID 265801100	Description Medicaid	Issuer Unlisted Florida

Adil Mohamed Sanaulla

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Wheat, Michael Andrew

Maldonado, Nelson A

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Whitney, Erin Ahrens

Majcina, Kathy

Poling, Patricia S

Saravis, Lauren

Zampogna, Gianpietro

Douglas B. Paone, M.D., P.A.

Anderson, Zackary David