Active NPI
Candelaria Medical Services LLC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Orlando, FL
National Provider Identifier
1285512046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- Legal business name
- CANDELARIA MEDICAL SERVICES LLC
- Practice address
- 1417 N Semoran Blvd Ste 106
Orlando, FL 32807-3555 - Phone
- (407) 704-7633
- Fax
- (407) 705-2152
- NPI assigned
- Aug 21, 2025
- Last updated
- Aug 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynette Candelaria Merced, ARNP
- Title
- Ceo/Director
- Phone
- (787) 363-7928
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NU | ||
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | NU | Primary |
Addresses
Primary practice location
1417 N Semoran Blvd Ste 106
Orlando, FL 32807-3555
Mailing address
1417 N Semoran Blvd Ste 106
Orlando, FL 32807-3555
Phone (407) 704-7633
Other names 1
- Candelaria Medical Services LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Cloud, FL
- NPI 1699446484
Adult Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1285512046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 N SEMORAN BLVD STE 106",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073555",
"telephone_number": "407-704-7633",
"fax_number": "407-705-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 N SEMORAN BLVD STE 106",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073555",
"telephone_number": "407-704-7633",
"fax_number": "407-705-2152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANDELARIA MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "CANDELARIA MERCED",
"authorized_official_first_name": "LYNETTE",
"authorized_official_title_or_position": "CEO/DIRECTOR",
"authorized_official_telephone_number": "787-363-7928",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Candelaria Medical Services LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.