Individual
CANDICE OMEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 INTERLOCK DR, KISSIMMEE, FL 34741-2943
(407) 780-9772
Mailing address
2521 INTERLOCK DR, KISSIMMEE, FL 34741-2943
(407) 780-9772
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11018423
FL
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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