Individual
MR. CALEB JOHN CANNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1525 W CYPRESS CREEK RD, FORT LAUDERDALE, FL 33309-1831
(800) 437-2672
Mailing address
6451 PERSHING ST, HOLLYWOOD, FL 33024-2036
(850) 597-0753
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA741
FL
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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