MEDICARE: CANDACE ELIAHU

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	225100000X	Physical Therapist	1407780	TX
2	2251G0304X	Geriatric Physical Therapist	PT37716	FL

General Provider Information

NPI Number	:	1083348122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDACE ELIAHU

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	3001 DEER CREEK COUNTRY CLUB BLVD
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-8438
Country	:	US
Telephone Number	:	954-363-3510
Fax Number	:

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

Provider Enumeration Date	:	07/14/2022
Last Update Date	:	01/14/2026

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Directions to “ CANDACE ELIAHU ” Practice Location

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