MEDICARE: CANDACE LYNN MIRTO APRN

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	363LF0000X	Family Nurse Practitioner	APRN11008054	FL

General Provider Information

NPI Number	:	1205447893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDACE LYNN MIRTO APRN

Provider Business Mailing Address
First Line	:	127 VILLA CIR
Second Line	:
City	:	ATLANTIS
State	:	FL
Zip	:	33462-1317
Country	:	US
Telephone Number	:	330-509-1497
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 LANTANA RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462-1304
Country	:	US
Telephone Number	:	561-965-1864
Fax Number	:

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

Provider Enumeration Date	:	08/16/2020
Last Update Date	:	11/16/2020

Similar Medicare Providers

1043428089 — SEETAL MEWAR M.D.,
Practice Location Address:

3450 LANTANA RD , STE 100
LAKE WORTH, FL
33462-1304

Practice Phone: 561-965-1864
Practice Fax: 561-967-5005

1376742833 — JOSE AGUSTIN ORTEGA III M.D.
Practice Location Address:

3450 LANTANA RD , STE100
LAKE WORTH, FL
33462-1304

Practice Phone: 561-965-1864
Practice Fax: 561-967-5005

1013366558 — LAZARA LUCIA SANCHEZ ARNP
Practice Location Address:

3450 LANTANA RD STE 100
LAKE WORTH, FL
33462-1304

Practice Phone: 561-965-1864
Practice Fax:

1487312393 — APRIL ROEMER APRN
Practice Location Address:

3450 LANTANA RD STE 100
LAKE WORTH, FL
33462-1304

Practice Phone: 561-965-1864
Practice Fax:

1619675311 — DR. JENNY C JEUDI FNP-BC
Practice Location Address:

3450 LANTANA RD STE 100
LAKE WORTH, FL
33462-1304

Practice Phone: 561-965-1864
Practice Fax:

1013771922 — KELLY LIANG NP
Practice Location Address:

3450 LANTANA RD STE 100
LAKE WORTH, FL
33462-1304

Practice Phone: 561-965-1864
Practice Fax: 561-967-5005

Directions to “ CANDACE LYNN MIRTO APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.