Individual
JOEL CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3876 HIGHWAY 90, PACE, FL 32571
(850) 994-6318
Mailing address
3876 HIGHWAY 90, PACE, FL 32571-1095
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
30708
FL
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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