IndividualActive
Joel Cannon
NPI 1902329287 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Pace, FL
Provider details
- NPI number
- 1902329287
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 30708 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3876 Highway 90
Pace, FL 32571
Phone: (850) 994-6318
Approximate (ZIP-level) locationGet directions
Mailing address
3876 Highway 90
Pace, FL 32571-1095
Registry dates
- Enumerated
- 2017-07-19
- Last updated
- 2017-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.