Cannon, Greg Samuel

Cannon, Greg Samuel is an individual health care provider with primary practice located at 2635 Tepee Ave Se , Palm Bay FL 32909-7282. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Cannon, Greg Samuel can be contacted via phone (321) 720-8920.

Contact Information

Primary practice address
2635 Tepee Ave Se Palm Bay FL 32909-7282
Phone: (321) 720-8920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X ND6331 Florida

Profile Details

NPI number 1740915909
LBN Legal business name Cannon, Greg Samuel
Credentials MS, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2022
Last updated Jul 21st, 2022 - 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.

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