MEDICARE: NEUROLOGY OFFICE JOSEPH KANDEL MD & ASSOCIATES, PLLC

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	2084N0400X	Neurology Physician	ME55307	FL

General Provider Information

NPI Number	:	1801273339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROLOGY OFFICE JOSEPH KANDEL MD & ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	7250 COLLEGE PKWY
Second Line	:	SUITE 3
City	:	FORT MYERS
State	:	FL
Zip	:	33907-5606
Country	:	US
Telephone Number	:	239-596-9624
Fax Number	:

Provider Business Practice Location Address
First Line	:	7250 COLLEGE PKWY STE 3
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-5606
Country	:	US
Telephone Number	:	239-231-1415
Fax Number	:	239-231-1417

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH KANDEL
Credential	:	M.D.
Telephone Number	:	239-290-7114

Provider Enumeration Date	:	05/05/2015
Last Update Date	:	11/20/2024

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