Individual
BENJAMIN SETH CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
Mailing address
543 KENDALL CROSSING DR, ST JOHNS, FL 32259-8766
(904) 521-9796
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11024408
FL
Other
Enumeration date
02/09/2023
Last updated
02/10/2023
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