Provider Demographics
NPI:1669984605
Name:KALIPERSAD, CANDICE M (APRN)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:M
Last Name:KALIPERSAD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1016 SE 116TH PLACE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-6539
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1016 SE 116TH PLACE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-6539
Practice Address - Country:US
Practice Address - Phone:954-376-0114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-31
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF403990363LP0808X
VA0024180854363LP0808X
TX1049562363LP0808X
OR202201064-NP-PP363LP0808X
LA225488363LP0808X
SC27265A363LP0808X
FLAPRN9426153363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health