Individual
LAURA MICHELLE CANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 650-1300
(407) 650-1307
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(407) 650-1300
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103919
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003785400
—
FL
01
—
PA9103919
MEDICAL LICENSE
FL
Enumeration date
12/04/2006
Last updated
11/14/2016
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