Individual
QUANISHA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3702 W SPRUCE ST # 1117, TAMPA, FL 33607-2553
(800) 303-4214
Mailing address
3702 W SPRUCE ST # 1117, TAMPA, FL 33607-2553
(800) 303-4214
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
171400000X
Health & Wellness Coach
—
—
172V00000X
Community Health Worker
—
—
175F00000X
Naturopath
—
—
175L00000X
Homeopath
—
—
202D00000X
Integrative Medicine Physician
Primary
IM12QC56970
MO
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
QC23WF5122
FL
251B00000X
Case Management Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
374J00000X
Doula
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
12/23/2024
Last updated
01/13/2025
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