Organization · Type 2 NPI

Canopie Health P.a.

Obstetrics & Gynecology Physician · Jacksonville, FL

NPI number 1902767569 Active

Practice location

12747 Shinnecock Way
Jacksonville, FL 32225-4790

Call (904) 217-6870 Map

Mailing address

10432 Balls Ford Rd Ste 300
Manassas, VA 20109-2517

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1902767569

Canopie Health P.a.'s National Provider Identifier is 1902767569, issued on Nov 21, 2025. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 21, 2025.