Individual
JAIME CANCEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4235 KINGS HIGHWAY, SUITE 103, PORT CHARLOTTE, FL 33980-8421
(941) 613-1777
(941) 613-1779
Mailing address
4235 KINGS HIGHWAY, SUITE 103, PORT CHARLOTTE, FL 33980-8421
(941) 613-1777
(941) 613-1779
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME137658
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME137658
FL
Other
Enumeration date
09/11/2006
Last updated
11/21/2018
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