Michael Cannizzaro, LPN
Individual provider Active NPI Licensed Practical Nurse · Estero, FL
NPI 1053861542 · NPPES record last updated Oct 7, 2016
Key facts
- NPI
- 1053861542
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN11520 (FL)
- Practice address
- 10455 Corkscrew Commons Dr Apt 102
Estero, FL 33928-9480 - Phone
- (239) 699-9413
- NPI assigned
- Oct 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN11520 | FL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN11520 | FL | Yes |
Addresses
Primary practice location
10455 Corkscrew Commons Dr Apt 102
Estero, FL 33928-9480
Mailing address
10455 Corkscrew Commons Dr Apt 102
Estero, FL 33928-9480
Phone (239) 699-9413
Other providers in Estero, FL
- Conor William Byrt
- Hillary Lynn Cachet
- Nicole Christine Calderone
- Annette Joy Campbell Bassan
- Candide LLC
- Peter Cannizzo
- Ester Cantillo Carcasses
- Carlos Sanchez OD PA
- Ashley Lyn Carlson
- Nancy Ann Carlson
All providers in Estero, FL · Licensed Practical Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.