Medglam Aesthetics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MEDGLAM AESTHETICS LLC

Practice address

2605 Yountville Ave
Kissimmee, FL 34741

Phone

(786) 566-0967

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

Candise Cecilia Cabado, NPNPI 1316651003

Title

Nurse Practitioner

Phone

(786) 566-0967

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candise Cecilia Cabado, MSN NP

  • Family Nurse Practitioner
  • Kissimmee, FL
  • NPI 1316651003
  NPD Authorized official

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1720891955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 DYER BLVD STE 181",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 YOUNTVILLE AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "786-566-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDGLAM AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "CABADO",
        "authorized_official_first_name": "CANDISE",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-566-0967",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med-Bless Trasport Care
• Neha Meda
• Medcare Xpress Walk-in Clinic of Kissimmee,LLC
• Medex Pros, LLC
• Medfund LLC (Horizon Kissimmee LLC)
• Medical Associates of Greater Orlando (Innovative Express Clinic)
• Medical Associates, P.a.
• Medical Clinic of Osceola LLC
• Medical Eye Associates (American Optical)
• Medical Eye Associates Inc

• Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.