Active NPI
MC Medical Associates PA
- Internal Medicine Physician
- Cape Coral, FL
National Provider Identifier
1750589487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS 8236
- Legal business name
- MC MEDICAL ASSOCIATES PA
- Practice address
- 1519 SE 47TH St
Cape Coral, FL 33904-9637 - Phone
- (239) 823-7829
- NPI assigned
- Jul 3, 2007
- 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
- Dr. Michele Antoinette Candelore, DO
- Title
- President
- Phone
- (239) 823-7829
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS 8236 | FL | Primary |
Addresses
Primary practice location
1519 SE 47TH St
Cape Coral, FL 33904-9637
Mailing address
1519 SE 47TH St
Cape Coral, FL 33904-9637
Phone (239) 823-7829
National Provider Directory
National Provider DirectoryLocations
3326 Del Prado Blvd S
Ste 89
Cape Coral, FL 33904
Phone (239) 540-0081
1519 SE 47th St
Cape Coral, FL 33904
Phone (239) 540-0081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187136000000",
"number": "1750589487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 SE 47TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339049637",
"telephone_number": "239-823-7829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 SE 47TH ST",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339049637",
"telephone_number": "239-823-7829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MC MEDICAL ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-03",
"last_updated": "2007-08-15",
"status": "A",
"authorized_official_last_name": "CANDELORE",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "ANTOINETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-823-7829",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS 8236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.