Most Relevant Information
Provider Data
| NPI Number: | 1003311184 |
| Provider Name: | MICHAEL CALVIN CANTRELL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/29/2018 |
| Last Updated: | 08/01/2023 |
Provider Practice Location
653-1 W 8TH ST
JACKSONVILLE
FL
322096511
Practice Location Phone/Fax
| Phone: | 9043831015 |
| Fax: | 9042447131 |
Provider Mailing Location
653-1 W 8TH ST
JACKSONVILLE
FL
322096511
Provider Mailing Phone/Fax
| Phone: | 9043831015 |
| Fax: | 9042447131 |