Individual
MRS. AMY ELIZABETH MCCANDLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 STERTHAUS DR, ORMOND BEACH, FL 32174-5130
(386) 301-4067
Mailing address
12201 RESEARCH PKWY STE 300, ORLANDO, FL 32826-3265
(407) 823-2744
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11016357
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2020
Last updated
11/18/2021
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