CLIFTON L CANNON III (NPI# 1972780526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972780526 |
| Entity Type | Individual |
| Full Name | CLIFTON L CANNON III |
| Credential | MD |
| Practice Address |
13055 Sw 42nd St Ste 101 Miami FL 33175-3409 |
| Mailing Address |
5 Waite Dr Savannah GA 31406-5230 |
| Practice Telephone | 3056001738 |
| Mailing Telephone | 9125470143 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
059051 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 059051 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
13055 SW 42ND ST STE 101 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932658648 | Daniel Calva-cerqueira, M.d., P.a. | Plastic Surgery | 7300 N Kendall Dr Ste 201, Miami, FL 33156-7840 | 2016-09-23 |
| 1154689453 | Natalia Fullerton | Plastic Surgery | 900 Nw 17th St, Miami, FL 33136-1119 | 2012-04-25 |
| 1215067459 | M Felix Freshwater Md Pa | Plastic Surgery | 9155 S Dadeland Blvd, Ste 1404, Miami, FL 33156-2739 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801158274 | Keys Plastic Surgery, Inc. | Plastic Surgery | 10095 Overseas Hwy, Marathon, FL 33050-3336 | 2012-06-12 |
| 1245507250 | Thomas L. Zoeller, Md,pa | Plastic Surgery | 2760 Se 17th St Ste 102, Ocala, FL 34471-5550 | 2011-11-18 |
| 1528086196 | Jaime Perez | Plastic Surgery | 307 S Macdill Ave, Tampa, FL 33609-3141 | 2006-07-18 |
| 1487683801 | David Eric Halpern | Plastic Surgery | 120 S Fremont Ave, Tampa, FL 33606-1703 | 2006-06-30 |
| 1568435832 | Antonio J Gayoso | Plastic Surgery | 1515 22nd Ave N, St Petersburg, FL 33704-3113 | 2006-02-08 |
| 1265437180 | Mary Ellen Beatty | Plastic Surgery | 13020 N Telecom Parkway, Temple Terrace, FL 33637 | 2005-06-16 |
| 1215475504 | Orlando Plastic Surgery Institute, Pa | Plastic Surgery | 801 N Orange Ave, Suite 530, Orlando, FL 32801-1026 | 2017-02-07 |
| 1073064382 | A.desrosiers IIi, M.d., Corp | Plastic Surgery | 6705 S Red Rd, Suite 516, South Miami, FL 33143-3622 | 2016-10-21 |
| 1912453192 | Hand Care Specialists of Wesley Chapel LLC | Plastic Surgery | 2050 Ashley Oaks Cir, Ste 101, Wesley Chapel, FL 33544-6415 | 2016-08-29 |
| 1275873275 | Timothy M Bradley,md Sc | Plastic Surgery | 1032 Mar Walt Dr, Suite 240, Fort Walton Beach, FL 32547-6661 | 2013-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.