Individual
CANDACE M MADICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2703 N PONCE DE LEON BLVD, ST AUGUSTINE, FL 32084-2603
(904) 824-2838
Mailing address
145 ISLAND COTTAGE WAY, ST AUGUSTINE, FL 32080-4404
(904) 471-6629
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9268617
FL
363LF0000X
Family Nurse Practitioner
COA12301-NP
OH
Other
Enumeration date
04/15/2011
Last updated
03/19/2012
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