Individual
CANAAN MAFFEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1921 BRIDGEPORT CIR, ROCKLEDGE, FL 32955-4335
(321) 480-5525
Mailing address
1921 BRIDGEPORT CIR, ROCKLEDGE, FL 32955-4335
(321) 480-5525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11010122
FL
Other
Enumeration date
02/12/2021
Last updated
02/23/2021
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