MEDICARE: MADELINE CANDELARIO-COSME M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	ME123285	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AUMEL	OTHER	FL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144595406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE CANDELARIO-COSME M.D.

Provider Business Mailing Address
First Line	:	602 S AUDUBON AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4217
Country	:	US
Telephone Number	:	813-931-2424
Fax Number	:	813-869-3148

Provider Business Practice Location Address
First Line	:	602 S AUDUBON AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4217
Country	:	US
Telephone Number	:	813-931-2424
Fax Number	:	813-869-3148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2012
Last Update Date	:	03/05/2024

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