Individual
MR. JUSTIN CANDELORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCTMB MASSAGE THERAI
Contact information
Practice address
604 FRONT ST, CELEBRATION, FL 34747-4675
(321) 939-2328
(321) 939-2033
Mailing address
1740 BONITA AVE, ORLANDO, FL 32805-4425
(407) 616-4756
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MA47129
FL
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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