Active NPI
Dan Candea, MD
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME162007
- Practice address
- 3625 University Blvd S
Jacksonville, FL 32216-4207 - Phone
- (904) 702-6086
- NPI assigned
- Apr 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 060646844 | CT | |
| Emergency Medicine Physician | 207P00000X | ME162007 | FL | Primary |
Addresses
Primary practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Mailing address
118 8TH Avenue
Supt Apt.
Brooklyn, NY 11215
Phone (718) 398-9383
Other practice location 1
45 Reade Pl
Poughkeepsie, NY 12601-3947
Phone (845) 454-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VB06604B | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone (850) 325-5000
Hospital & facility affiliations
- HCA Florida Putnam Hospital
- HCA Florida West Hospital
- HCA Florida Capital Hospital
- HCA Florida Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME162007 | FL | MD | Emergency Medicine Physician |
| 060646844 | CT | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
Locations
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1790732303
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1639116726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1447713979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 8TH AVENUE",
"address_2": "SUPT APT.",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "718-398-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "904-702-6086"
}
],
"practiceLocations": [
{
"address_1": "45 Reade Pl",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126013947",
"country_code": "US",
"telephone_number": "845-454-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANDEA",
"first_name": "DAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-11",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "060646844",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME162007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VB06604B",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.