Individual provider Active NPI

Michele A Candelore, D.O.

  • Internal Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1720146566
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8236 Issued in FL
Practice address
13880 Shell Point PLZ Ste 110
Fort Myers, FL 33908-3504
Phone
(239) 454-2146
NPI assigned
Dec 5, 2006
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS8236 FL Primary

Addresses

Primary practice location

13880 Shell Point PLZ Ste 110
Fort Myers, FL 33908-3504

Mailing address

15000 Shell Point Blvd Ste 100
Fort Myers, FL 33908-1657
Phone (239) 454-2146

Other practice location 1

13880 Shell Point Plz Ste 200
Fort Myers, FL 33908-3504
Phone (239) 466-1111

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000212 FL Practitioner - Internal Medicine 4183712375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13880 Shell Point PLZ
Suite 110
Fort Myers, FL 33908-3504
Phone (239) 454-2146

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS8236FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Sep 20, 2012 Accepting new patients
Millennium Physician Group LLC Internal Medicine CurrentSince Sep 20, 2012 Accepting new patients
The Christian & Missionary Alliance Foundation Inc CurrentSince Oct 1, 2024 Accepting new patients
The Christian & Missionary Alliance Foundation Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

126 Del Prado Blvd N
Ste 104
Cape Coral, FL 33909
Phone (239) 573-1606

1708 Cape Coral Pkwy W
Cape Coral, FL 33914
Phone (239) 333-3333

2002 Del Prado Blvd S
Ste 100
Cape Coral, FL 33990
Phone (239) 217-4470

3326 Del Prado Blvd S
Ste 8
Cape Coral, FL 33904
Phone (239) 540-0081

13880 Shell Point Plz
Ste 110
Fort Myers, FL 33908
Phone (239) 454-2146

13880 Shell Point Plz
Ste 200
Fort Myers, FL 33908
Phone (239) 454-2146

15000 Shell Point Blvd
Ste 100
Fort Myers, FL 33908
Phone (813) 454-1111

15051 Shell Point Blvd
Fort Myers, FL 33908
Phone (239) 454-2146

15661 San Carlos Blvd
Unit 2
Fort Myers, FL 33908
Phone (239) 433-4014

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

8100 Arbor Ct
Fort Myers, FL 33908
Phone (239) 454-2146

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shell Point - Larsen PavilionFort Myers, FL, CCN 105966 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF
Oct 1, 2024
Oct 1, 2024
Jul 31, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1720146566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SHELL POINT BLVD STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081657",
            "telephone_number": "239-454-2146",
            "fax_number": "239-454-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 SHELL POINT PLZ STE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083504",
            "telephone_number": "239-454-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13880 Shell Point Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083504",
            "country_code": "US",
            "telephone_number": "239-466-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANDELORE",
        "first_name": "MICHELE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.