Candice Roseann Maltezos, CRT

Primary specialty

General Care Certified Respiratory TherapistTaxonomy code 2278G1100X

License

TT9179 Issued in FL

Practice address

1925 Virginia Ave Apt 1610
Fort Myers, FL 33901-3379

Phone

(239) 465-8778

NPI assigned

Sep 3, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1104430420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 VIRGINIA AVE APT 1610",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013379",
            "telephone_number": "239-465-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 VIRGINIA AVE APT 1610",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013379",
            "telephone_number": "239-465-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTEZOS",
        "first_name": "CANDICE",
        "middle_name": "ROSEANN",
        "credential": "CRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "FL",
            "license": "TT9179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Mallone-Stead, APRN
• Michael Stephen Mallouk, BS PHARMACY
• Allison Lillian Malone, SLP
• Kathleen Sheridan Maloney, O.D
• Lisa Malt, MED
• Wendy Maltezos, LPN
• Timur Mamedov, M.D.
• Michael S. Mancano
• Kimberly Ann Mancl, MD
• Mandala Counseling Services LLC

• Certified Respiratory Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Certified Respiratory Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.