Individual
JAIME E CANDELORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 N COUNTRY CLUB RD STE 113, LAKE MARY, FL 32746-3249
(407) 831-6200
(407) 831-1068
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(407) 831-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME99161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278846200
—
FL
Enumeration date
06/26/2007
Last updated
05/27/2021
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