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Contact Information

KANDICE M HEARNS
175 NE VILLA NUEVA AVE
PALM BAY, FL32907
 Phone: 321-952-1818
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for KANDICE M HEARNS · (Female)

NPI Number 1679002877
Status Active
Credentials
Entity Individual
Enumeration date 06/09/2017
Last updated 06/09/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 24849
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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