Individual
CANDACE FOGLIATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35095 US HIGHWAY 19 N STE 100, PALM HARBOR, FL 34684-1968
(727) 953-8404
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-6775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME158412
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2021
Last updated
09/27/2024
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