Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicole Marie Canada, MD

Individual provider Family Medicine Physician · NPI 1912997180

Dr. Nicole Marie Canada, MD is a Family Practice in Bradenton, Florida. Qualified in 2001, 25 years ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

250 2nd St E Ste 4G
Bradenton, FL 34208-1028
Phone: (941) 708-8199
Fax: (941) 708-8194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 9135 58th Dr E, Bradenton, FL 34202-9188 — (941) 216-6200
  • 9135 58th Dr E, Bradenton, FL 34202-9188 — (941) 216-6200
  • 300 Parkview Pl, Lakeland, FL 33805-4550 — (863) 687-1300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME131703 (FL)

Record details

NPI number1912997180
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 27, 2005
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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