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NPI Code Detail

MEDICARE: ANESSA CANIDATE

MEDICARE: ANESSA CANIDATE
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
1376J00000XHomemaker240607FL
2253Z00000XIn Home Supportive Care Agency

Other Identifiers

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

General Provider Information

NPI Number : 1174931059
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANESSA CANIDATE
Provider Business Mailing Address
First Line : 925 ARLINGTON CIR
Second Line :
City : QUINCY
State : FL
Zip : 32351-4029
Country : US
Telephone Number : 850-321-6343
Fax Number : 850-627-2130
Provider Business Practice Location Address
First Line : 925 ARLINGTON CIR
Second Line :
City : QUINCY
State : FL
Zip : 32351-4029
Country : US
Telephone Number : 850-321-6343
Fax Number : 850-627-2130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2014
Last Update Date : 03/17/2026

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Directions to “ ANESSA CANIDATE ” Practice Location

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