Provider Demographics
NPI:1083719769
Name:BOYD, CANDACE M (RN)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:M
Last Name:BOYD
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Gender:F
Credentials:RN
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Mailing Address - Street 1:9800 S HEALTHPARK DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-7603
Mailing Address - Country:US
Mailing Address - Phone:239-433-6760
Mailing Address - Fax:239-433-6766
Practice Address - Street 1:2295 VICTORIA AVE
Practice Address - Street 2:OFFICE 112
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-3884
Practice Address - Country:US
Practice Address - Phone:239-338-1675
Practice Address - Fax:239-338-1506
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLRN2105242163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management