Cannon, Odest Frank

Cannon, Odest Frank is an sole proprietor health care provider with primary practice located at 1015 Se 17Th St #100, Ocala FL 34471-3968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Cannon, Odest Frank can be contacted via phone (352) 351-3422.

Contact Information

Primary practice address
1015 Se 17Th St #100 Ocala FL 34471-3968
Fax: (352) 351-9129
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME0052187 Florida

Profile Details

NPI number 1871590794
LBN Legal business name Cannon, Odest Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2005
Last updated May 8th, 2008 - about 16 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 1871590794 NPPES
Florida MEDICAID 069474600

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