Individual
FADI KANDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 WHETSTONE PL STE 102, SAINT AUGUSTINE, FL 32086-5775
(904) 342-8300
Mailing address
100 WHETSTONE PL STE 102, SAINT AUGUSTINE, FL 32086-5775
(904) 342-8300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO6500
FL
207RC0000X
Cardiovascular Disease Physician
Primary
OS22197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127955400
—
FL
Enumeration date
03/21/2019
Last updated
09/17/2025
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