Individual
DR. CANDICE NICOLE MANSITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1097 S LE JEUNE RD, MIAMI, FL 33134-2639
(305) 442-2020
Mailing address
2896 S EDGEHILL LN, HOLLYWOOD, FL 33026-3773
(786) 486-5228
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5204
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC5204
FL
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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