Healthcare Provider Details

I. General information

NPI: 1336063833
Provider Name (Legal Business Name): CANDY C WEISER LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N BARCELONA ST STE C
PENSACOLA FL
32501-4834
US

IV. Provider business mailing address

3352 GREEN BRIAR CIR APT A
GULF BREEZE FL
32563-2865
US

V. Phone/Fax

Practice location:
  • Phone: 850-466-8959
  • Fax: 448-400-2214
Mailing address:
  • Phone: 850-376-9682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA75922
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: