Individual provider · Type 1 NPI

Nicole Marie Canada, MD

Family Medicine Physician · Bradenton, FL

NPI number 1912997180 Active

Practice location

250 2nd St E Ste 4G
Bradenton, FL 34208-1028

Fax (941) 708-8194

Mailing address

367 S. Gulph Rd, Att Ipm Credentialing
King Of Prussia, PA 19406-3121

Other practice locations

  • 9135 58th Dr E, Bradenton, FL 34202-9188 · (941) 216-6200
  • 9135 58th Dr E, Bradenton, FL 34202-9188 · (941) 216-6200
  • 300 Parkview Pl, Lakeland, FL 33805-4550 · (863) 687-1300

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XME131703 (FL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1912997180

Nicole Marie Canada, MD's National Provider Identifier is 1912997180, issued on Oct 27, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bradenton, FL. The record was last updated on Mar 22, 2024.