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Lizande Cannon
Family Nurse Practitioner in Melbourne, Florida
NPI 1366031338

Lizande Cannon is a Family Nurse Practitioner based in Melbourne, FL and is specialized in Family. Lizande Cannon practices in Melbourne, FL. The NPI Number for Lizande Cannon is 1366031338 and holds a License No. APRN11010347 (Florida).

The current practice location address for Lizande Cannon is 2120 Sarno Rd, Melbourne, FL and can be reached out via phone at 321-241-6800 and via fax at 321-241-6888.

Location: 2120 Sarno Rd, Melbourne, FL, 32902-1137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366031338
Provider Name
Lizande Cannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
2120 Sarno Rd, Melbourne, FL, 32902-1137
Phone Number
321-241-6800
Fax Number
321-241-6888
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APRN11010347 01 FL STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2120 Sarno Rd
City
Melbourne
State
Florida
Zip
32935-3084
Phone Number
321-241-6800
Fax Number
321-241-6888
person
Provider Business Mailing Address Details
Address
2120 Sarno Rd
City
Melbourne
State
Florida
Zip
32935-3084
Phone Number
321-241-6800
Fax Number
321-241-6888
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
APRN11010347 (Florida)
Definition
Definition to come...
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