Individual
CANDIE LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 SW ARCHER RD FL 3, GAINESVILLE, FL 32608-1136
(352) 265-8240
Mailing address
2515 SW 35TH PL APT 214, GAINESVILLE, FL 32608-0502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103966400
—
FL
Enumeration date
03/04/2019
Last updated
01/04/2022
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