MEDICARE: BRITTANY A CANIDATE 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	APRN11025096	FL

General Provider Information

NPI Number	:	1457133225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY A CANIDATE APRN

Provider Business Mailing Address
First Line	:	1410 LPGA BLVD STE 136
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5146
Country	:	US
Telephone Number	:	386-274-4750
Fax Number	:	386-274-4753

Provider Business Practice Location Address
First Line	:	1410 LPGA BLVD STE 136
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5146
Country	:	US
Telephone Number	:	386-274-4750
Fax Number	:	386-274-4753

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

Provider Enumeration Date	:	10/17/2023
Last Update Date	:	10/17/2023

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Directions to “ BRITTANY A CANIDATE APRN” Practice Location

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