Healthcare Provider Details

I. General information

NPI: 1316263486
Provider Name (Legal Business Name): CANDICE MICHELE INGS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

917 RINEHART RD STE 2051
LAKE MARY FL
32746-4878
US

IV. Provider business mailing address

917 RINEHART RD STE 2051
LAKE MARY FL
32746-4878
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-4344
  • Fax: 321-841-5288
Mailing address:
  • Phone: 321-841-4344
  • Fax: 321-841-5288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 9195186
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9195186
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9195186
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: