Organization
COLLABORATIVE PSYCHIATRIC CARE & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE P. CANNON APRN, PMHNP-BC (CO-OWNER)
(305) 546-3037
Entity
Organization
Contact information
Practice address
600 S MAIN AVE UNIT 100, MINNEOLA, FL 34715-9578
(352) 703-6341
(352) 743-1153
Mailing address
PO BOX 203, MINNEOLA, FL 34755-0203
(352) 703-6341
(352) 743-1153
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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