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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GINCY LIZ KANDANKULAM, M.D.

Active Sole Proprietor

GINCY LIZ KANDANKULAM, M.D. is a Family Medicine healthcare provider located in WELLINGTON, Florida. NPI 1477883965 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WELLINGTON, FL

Registration Details

NPI Number
1477883965
Provider Type
Individual
Gender
Female
NPI Issued
Jan 5, 2010 (16.604548667596 yrs)
Last Updated
Apr 11, 2022
License
121147 (FL)
Sole Proprietor
Yes

Practice Information

Address
2465 S STATE ROAD 7 STE 800
WELLINGTON, FL, 334149348
Browse FL providers · Browse ZIP 33414
Phone
5617844930
Fax
5617934544
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WELLINGTON, FL

Name Credential NPI
MR. MOHAMED HASHIM GAJRAJ MD 1275539447
DR. JOSE A BARRIOS M.D. 1841297066
CHRISTOPHER LEONARD DEVINE D.O. 1477553840
DR. MARIACLARA E BAGO DO 1134101827
DR. VINCENT M APICELLA DO 1316929995
AMERICO B. ANTON MD 1790765758
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.