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Contact Information

CANDESCENT PRESTIGE LLC
4546 GRAND BLVD
NEW PORT RICHEY, FL34652-5119
 Phone: 727-849-1447
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for CANDESCENT PRESTIGE LLC · (Female)

NPI # 1417241332
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2011
Last updated 06/08/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # OS7718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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