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

Mr. Jeremy Jon Cannon

Individual provider Counselor · NPI 1578842258

Mr. Jeremy Jon Cannon is a Counselor in Lakeland, Florida. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

5110 S Florida Ave Ste 105
Lakeland, FL 33813-2517
Phone: (863) 450-9864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1578842258
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2011
Last updated in NPPESAugust 15, 2011

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