Individual
CANDICE NICOLE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 374-5608
Mailing address
2114 NW 6TH ST, GAINESVILLE, FL 32609-3524
(352) 792-9943
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
12288
FL
246RP1900X
Phlebotomy Technician
Primary
22-0199
FL
376K00000X
Nurse's Aide
CNA262661
FL
Other
Enumeration date
11/20/2012
Last updated
03/04/2022
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