Healthcare Provider Details

I. General information

NPI: 1588972871
Provider Name (Legal Business Name): VESNA CANDIC OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2010
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 TURKEY LAKE RD
ORLANDO FL
32819-4200
US

IV. Provider business mailing address

6230 MORNING MIST LN
ORLANDO FL
32819-6915
US

V. Phone/Fax

Practice location:
  • Phone: 321-732-3723
  • Fax: 321-352-7168
Mailing address:
  • Phone: 321-368-2172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT 12747
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: