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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

NPI # 1417241332
LBN Legal business name CANDESCENT PRESTIGE LLC
Authorized official STEPHEN JENKS - (DIRECTOR/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2011
Last updated 06/08/2011 - About 15 years ago
Identifiers
FL License # OS7718
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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