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Contact Information

JIMMIE D CANOLE
2979 S HWY A1A
UNIT 224
MELBOURNE BEACH, FL32951-2881
 Phone: 321-223-9822
 Fax: 321-723-7720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Supports Brokerage

251X00000X
Indicates primary specialty

NPI Profile & details for

NPI # 1659741627
Entity Organization
Organization subpart 1 Not specified
Enumeration date 10/02/2015
Last updated 10/02/2015 - About 11 years ago
Identifiers
FL License # A039719
FL Other 573494 NATIONAL PRODUCER NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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