Organization Active NPI

MC Medical Associates PA

  • Internal Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1750589487
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS 8236 Issued in FL
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

Updated by the provider on Aug 15, 2007

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.