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Individual

CANDACE KONEY-LARYEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14000 FIVAY RD, HUDSON, FL 34667
(727) 861-5155
Mailing address
5424 GRAND BLVD, NEW PORT RICHEY, FL 34652
(727) 845-1736
(727) 849-0759

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME90158
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271759000
FL
Enumeration date
03/14/2006
Last updated
12/29/2016
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