Benjamin Seth Cannon, | |
1 Shircliff Way, Jacksonville, FL 32204-4748 | |
(904) 308-7300 | |
Not Available |
Full Name | Benjamin Seth Cannon |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1 Shircliff Way, Jacksonville, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891492831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN11024408 (Florida) | Primary |
Entity Name | Emergency Medical Specialists Of Jacksonville |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295738367 PECOS PAC ID: 2668361080 Enrollment ID: O20040313000203 |
Entity Name | Emsj Of Northeast Florida Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720753536 PECOS PAC ID: 0446657209 Enrollment ID: O20210921001385 |
Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295442614 PECOS PAC ID: 6608056171 Enrollment ID: O20230131002198 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Seth Cannon, 543 Kendall Crossing Dr, St Johns, FL 32259-8766 Ph: (904) 521-9796 | Benjamin Seth Cannon, 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300 |
Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844 | |
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395 | |
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832 | |
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080 |