Individual
MADELINE CANDELARIO-COSME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
602 S AUDUBON AVE STE A, TAMPA, FL 33609-4217
(813) 931-2424
(813) 869-3148
Mailing address
602 S AUDUBON AVE STE A, TAMPA, FL 33609-4217
(813) 931-2424
(813) 869-3148
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME123285
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021326300
—
FL
01
—
AUMEL
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/19/2012
Last updated
03/05/2024
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