Provider Demographics
NPI:1316263486
Name:INGS, CANDICE MICHELE (APRN)
Entity type:Individual
Prefix:
First Name:CANDICE
Middle Name:MICHELE
Last Name:INGS
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 1:917 RINEHART RD STE 2051
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4878
Mailing Address - Country:US
Mailing Address - Phone:321-841-4344
Mailing Address - Fax:321-841-5288
Practice Address - Street 1:917 RINEHART RD STE 2051
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4878
Practice Address - Country:US
Practice Address - Phone:321-841-4344
Practice Address - Fax:321-841-5288
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9195186363LA2200X
FLARNP 9195186363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily