Organization
CANNON MEDICAL TRANSPORTATION
Active
Other names
Cannon Medical Transportation LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK CANNON PRESIDENT (OWNER)
(585) 331-6060
Entity
Organization
Contact information
Practice address
18748 ROCOCO RD, SPRING HILL, FL 34610-0100
(585) 331-6060
(585) 331-6060
Mailing address
12 CLINTWOOD DR APT A, ROCHESTER, NY 14620-6525
(585) 331-6060
(585) 328-6226
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04284520
—
NY
Enumeration date
04/20/2022
Last updated
04/20/2022
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