MEDICARE: MISS CANDICE WEBB DO

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	2084P0800X	Psychiatry Physician	2022-03060	NC
2	2084P0800X	Psychiatry Physician	320313	NY
3	2084P0800X	Psychiatry Physician	OS15068	FL

General Provider Information

NPI Number	:	1447663729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CANDICE WEBB DO

Provider Business Mailing Address
First Line	:	PO BOX 24449
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-0589
Country	:	US
Telephone Number	:	833-351-8255
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 N MONROE ST STE 800
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32301-1549
Country	:	US
Telephone Number	:	833-351-8255
Fax Number	:

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

Provider Enumeration Date	:	06/04/2014
Last Update Date	:	08/12/2025

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