Individual provider · Type 1 NPI

Fay Alexander Cannon Jr., MD

Specialist · New Port Richey, FL

NPI number 1932111374 Active

Practice location

8002 King Helie Blvd
New Port Richey, FL 34653-1435

Call (727) 841-4430 Map

Mailing address

PO Box 428
New Port Richey, FL 34656-0428

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME95147 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1932111374

Fay Alexander Cannon Jr., MD's National Provider Identifier is 1932111374, issued on Aug 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New Port Richey, FL. The record was last updated on Jul 8, 2007.