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

Mr. Jimmie Dean Canole

Individual provider Supports Brokerage Agency · NPI 1659741627

Mr. Jimmie Dean Canole is a Supports Brokerage Agency in Melbourne Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
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Practice location Address checks out

2979 S Hwy A1A Unit 224
Melbourne Beach, FL 32951-2881
Phone: (321) 223-9822
Fax: (321) 723-7720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Supports Brokerage Agency (primary) Taxonomy 251X00000X · Licence A039719 (FL)

Record details

NPI number1659741627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 2, 2015
Last updated in NPPESOctober 2, 2015