Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMIE DEAN CANOLE
Active Sole ProprietorMR. JIMMIE DEAN CANOLE is a Supports Brokerage Agency healthcare provider located in MELBOURNE BEACH, Florida. NPI 1659741627 is currently active in the NPPES registry. Verify at CMS.
Supports Brokerage Agency · MELBOURNE BEACH, FL
Registration Details
- NPI Number
- 1659741627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2015 (10.902801113092 yrs)
- Last Updated
- Oct 2, 2015
- License
-
A039719 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2979 S HWY A1AUNIT 224MELBOURNE BEACH, FL, 329512881Browse FL providers · Browse ZIP 32951
- Phone
- 3212239822
- Fax
- 3217237720
- Primary Specialty
-
Supports Brokerage Agency
251X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.