Individual
CANDACE ANNE WORSHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME145265
FL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME145265
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107203800
—
FL
Enumeration date
04/02/2016
Last updated
11/05/2020
Update your record
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