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Candace M Madick, FNP
Family Nurse Practitioner in St Augustine, Florida
NPI 1558651117

Candace M Madick is a Family Nurse Practitioner based in St Augustine, FL and is specialized in Family. Candace M Madick practices in St Augustine, FL and has the professional credentials of FNP. The NPI Number for Candace M Madick is 1558651117 and holds a License No. COA12301-NP (Florida).

The current practice location address for Candace M Madick is 2703 N Ponce De Leon Blvd, St Augustine, FL and can be reached out via phone at 904-824-2838.

Location: 2703 N Ponce De Leon Blvd, St Augustine, FL, 32080-4404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558651117
Provider Name
Candace M Madick
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2703 N Ponce De Leon Blvd, St Augustine, FL, 32080-4404
Phone Number
904-824-2838
Fax Number
Provider Enumeration Date
04/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2703 N Ponce De Leon Blvd
City
St Augustine
State
Florida
Zip
32084-2603
Phone Number
904-824-2838
Fax Number
person
Provider Business Mailing Address Details
Address
2703 N Ponce De Leon Blvd
City
St Augustine
State
Florida
Zip
32084-2603
Phone Number
904-824-2838
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA12301-NP (Ohio)
Definition
Definition to come...
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