Peter Cannizzo

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Estero, FL

NPI 1700779709 · NPPES record last updated May 30, 2025

Key facts

NPI
1700779709
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
21321 S Branch Blvd Unit 5303
Estero, FL 33928-9776
Phone
(321) 795-2029
NPI assigned
May 30, 2025
Sex
Unspecified or another gender identity
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

21321 S Branch Blvd Unit 5303
Estero, FL 33928-9776

Mailing address

21321 S Branch Blvd Unit 5303
Estero, FL 33928-9776

Other providers in Estero, FL

All providers in Estero, FL · Student in an Organized Health Care Education/Training Program in Florida

Sources for this page

Verify at the official NPI Registry.