MEDICARE: MRS. CANDY LYNN BRIDGES 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	APRN11001627	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023573961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CANDY LYNN BRIDGES APRN

Provider Business Mailing Address
First Line	:	900 HOPE WAY
Second Line	:	MANAGED CARE
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-1502
Country	:	US
Telephone Number	:	407-357-1892
Fax Number	:	407-357-1679

Provider Business Practice Location Address
First Line	:	200 AVENUE F NE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4131
Country	:	US
Telephone Number	:	863-293-1191
Fax Number	:	863-292-4112

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

Provider Enumeration Date	:	02/05/2019
Last Update Date	:	02/02/2026

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