Michele A Candelore, D.O.
Individual provider Active NPI Internal Medicine Physician · Fort Myers, FL
NPI 1720146566 · NPPES record last updated Sep 25, 2024
Key facts
- NPI
- 1720146566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- OS8236 (FL)
- Practice address
- 13880 Shell Point PLZ Ste 110
Fort Myers, FL 33908-3504 - Phone
- (239) 454-2146
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- 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
- The Christian and Missionary Alliance Foundation, Inc
Practice addresses (Care Compare)
13880 Shell Point PLZ
Suite 110
Fort Myers, FL 33908-3504
Phone (239) 454-2146
Hospital & facility affiliations
- Shell Point Home Health
- Avow Hospice Inc
- Lee Memorial Hospital
- Cape Coral Hospital
- Gulf Coast Medical Center Lee Health
- Larsen Health Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Shell Point - Larsen Pavilion |
Skilled nursing facility | Corporate Director Operational/Managerial Control Adp of the SNF |
Oct 1, 2024 Oct 1, 2024 Jul 31, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071126000212 | FL | Practitioner - Internal Medicine | 4183712375 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Christian & Missionary Alliance Foundation Inc | Current |
Accepting new patients | |
| Millennium Physician Group LLC | Current |
Accepting new patients | |
| The Christian & Missionary Alliance Foundation Inc | Current |
Accepting new patients | |
| Millennium Physician Group LLC | Internal Medicine | Current |
Accepting new patients |
Locations
3326 Del Prado Blvd S
Ste 8
Cape Coral, FL 33904
Phone (239) 540-0081
1708 Cape Coral Pkwy W
Cape Coral, FL 33914
Phone (239) 333-3333
126 Del Prado Blvd N
Ste 104
Cape Coral, FL 33909
Phone (239) 573-1606
2002 Del Prado Blvd S
Ste 100
Cape Coral, FL 33990
Phone (239) 217-4470
15000 Shell Point Blvd
Ste 100
Fort Myers, FL 33908
Phone (813) 454-1111
2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700
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
15661 San Carlos Blvd
Unit 2
Fort Myers, FL 33908
Phone (239) 433-4014
15051 Shell Point Blvd
Fort Myers, FL 33908
Phone (239) 454-2146
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS8236 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51750 | Other | FL | FL BC |
Other providers in Fort Myers, FL
- Damaris Campos-Santiesteban
- Yamislaide Campos
- Can Community Health, Inc.
- Krystal Zue Canales Crespo
- Sharon Teresa Candelario
- Brianna Candelori
- Albany Christina Canelon Colmenarez
- Mary Canfield
- Stephen C Canfield
- Juan R Canizales
All providers in Fort Myers, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.