Cannestra, Andrew F

Cannestra, Andrew F is an individual health care provider with primary practice located at 800 Prudential Dr Tower B, 11Th Floor, Jacksonville FL 32207-8202. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Cannestra, Andrew F can be contacted via phone (904) 388-6518.

Contact Information

Primary practice address
800 Prudential Dr Tower B, 11Th Floor Jacksonville FL 32207-8202
Fax: (904) 384-1005
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME95573 Florida
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME95573 Florida

Profile Details

NPI number 1659328029
LBN Legal business name Cannestra, Andrew F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jun 8th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659328029 NPPES
Florida MEDICAID 275184400

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