CANDELARIA MEDICAL SERVICES LLC NPI 1285512046

NPI Information

  • NPI: 1285512046
  • Provider Name: CANDELARIA MEDICAL SERVICES LLC
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1417 N SEMORAN BLVD STE 106
    ORLANDO, FL
    ZIP 32807
  • Phone: (407) 704-7633

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NPI Details

CANDELARIA MEDICAL SERVICES LLC is a psychiatric/mental health clinical nurse specialist in Orlando, FL. CANDELARIA MEDICAL SERVICES LLC NPI is 1285512046. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1417 N SEMORAN BLVD STE 106
ORLANDO, FL
ZIP 32807-555
Phone: (407) 704-7633
Fax: (407) 705-2152

The provider's authorized official is Lynette Candelaria Merced .
The authorized official title is Ceo/director and has the following contact phone number (787) 363-7928.

The enumeration date for this NPI number is 8/21/2025 and was last updated on 8/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthNo
2364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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