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CANDACE DYAN DORNSTAUDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5771 ROOSEVELT BLVD, CLEARWATER, FL 33760-3407
(727) 467-7423
Mailing address
5771 ROOSEVELT BLVD, CLEARWATER, FL 33760-3407
(727) 467-7423

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11002566
FL

Other

Enumeration date
09/09/2019
Last updated
09/09/2019
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