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Individual

DR. PETER DAVID CANDELORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5145 DEER PARK DR, NEW PORT RICHEY, FL 34653-7013
(727) 848-1417
(727) 847-7526
Mailing address
5145 DEER PARK DR, NEW PORT RICHEY, FL 34653-7013
(727) 848-1417
(727) 847-7526

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0079772
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063480800
FL
Enumeration date
06/13/2005
Last updated
05/04/2011
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