Candelora, Peter David

Candelora, Peter David is an sole proprietor health care provider with primary practice located at 5145 Deer Park Dr , New Port Richey FL 34653-7013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Candelora, Peter David can be contacted via phone (727) 848-1417.

Contact Information

Primary practice address
5145 Deer Park Dr New Port Richey FL 34653-7013
Fax: (727) 847-7526
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME0079772 Florida

Profile Details

NPI number 1376547729
LBN Legal business name Candelora, Peter David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated May 4th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376547729 NPPES
Florida MEDICAID 063480800

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