CANDACE MCKINZIE (NPI# 1760998058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760998058 |
Entity Type | Individual |
Full Name | CANDACE MCKINZIE |
Practice Address |
2416 Granby St Sanford FL 32771-9654 |
Mailing Address |
2416 Granby Ave Sanford FL 32771 |
Practice Telephone | 3212622879 |
Practice Fax Number | 3212622879 |
Mailing Telephone | 3212622879 |
Enumeration Date | 2017-12-21 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
Street Address |
2416 GRANBY ST |
City | SANFORD |
State | FL |
Zip Code | 32771-9654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
Find all providers in zip 32771 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316557630 | Nicole Felicia Felton | Psychologist | 9267 Canary Ivy Ln, Jacksonville, FL 32219-6001 | 2020-08-01 |
1962012310 | Wesley Green | Psychologist | 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378 | 2020-07-31 |
1235748500 | Ruth J Keili | Psychologist | 3562 Old Village Dr, Orange Park, FL 32065-5521 | 2020-07-23 |
1609410059 | Barbara Ann Davis | Psychologist | 1324 Fairway Village Dr, Fleming Island, FL 32003-8398 | 2019-10-29 |
1417599531 | Bernice L Walker | Psychologist | 2449 Bracknell Forest Trl, Tavares, FL 32778-5706 | 2019-10-09 |
1013572304 | Alf 8860 Adrd Training Provider LLC. | Psychologist | 7990 Baymeadows Rd E Unit 1001, Jacksonville, FL 32256-2977 | 2019-05-02 |
1114497278 | Tayana Washington | Psychologist | 2008 Se 45th Terr, Gainesville, FL 32641-3264 | 2018-12-03 |
1598251795 | Tez-mia Kimberly Gray | Psychologist | 1100 Lime St Apt 28, Fernandina Beach, FL 32034-4417 | 2018-07-11 |
1205331881 | Tyric Lamont Drummond | Psychologist | 990 62nd Ter S, Saint Petersburg, FL 33705-5819 | 2018-03-27 |
1669973640 | Tanya Delanie Samuels | Psychologist | 502 Camino Real Ct Apt A, Brandon, FL 33510-3704 | 2018-02-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.