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Individual

DR. CRAIG MICHEAL CANDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.P.H.

Contact information

Practice address
701 W COCOA BEACH CSWY, COCOA BEACH, FL 32931-5595
(321) 868-5871
(321) 868-5852
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 868-5871
(321) 868-5852

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME132513
FL
208M00000X
Hospitalist Physician
Primary
ME132513
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
021472000
FL
01
JB797Z
MEDICARE
FL
Enumeration date
05/14/2014
Last updated
11/20/2023
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