Individual
SALLY KANDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9350 CAMELOT DR, FORT MYERS, FL 33919-7980
(239) 481-5437
(239) 481-0570
Mailing address
12730 NEW BRITTANY BLVD STE 602, FORT MYERS, FL 33907-4690
(239) 275-5522
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
173971
CA
208000000X
Pediatrics Physician
Primary
ME166873
FL
208000000X
Pediatrics Physician
MT216895
PA
Other
Enumeration date
06/25/2018
Last updated
07/17/2024
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