Cannon, Carol Venero

Cannon, Carol Venero is an individual health care provider with primary practice located at 720 Almond St , Clermont FL 34711-3124. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cannon, Carol Venero can be contacted via phone (352) 404-6959.

Contact Information

Primary practice address
720 Almond St Clermont FL 34711-3124
Phone: (352) 404-6959
Fax: (352) 404-6960
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9101382 Florida

Profile Details

NPI number 1225137128
LBN Legal business name Cannon, Carol Venero
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225137128 NPPES
Florida MEDICAID 2923378 00

Popular Providers