Individual
DR. ODEST FRANK CANNON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 SE 17TH ST, #100, OCALA, FL 34471-3968
(352) 351-3422
(352) 351-9129
Mailing address
1015 SE 17TH ST, #100, OCALA, FL 34471-3968
(352) 351-3422
(352) 351-9129
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0052187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069474600
—
FL
Enumeration date
07/07/2005
Last updated
05/08/2008
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