Basic Information
| Provider Information | |||||||||
| NPI: | 1497043186 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HRELEC | ||||||||
| FirstName: | CANDACE | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 947407 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303947407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9419172600 | ||||||||
| FaxNumber: | 9419177884 | ||||||||
| Practice Location | |||||||||
| Address1: | 1901 FLOYD ST STE 304 | ||||||||
| Address2: | |||||||||
| City: | SARASOTA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342392932 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9413669222 | ||||||||
| FaxNumber: | 9413652269 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2011 | ||||||||
| LastUpdateDate: | 02/28/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/28/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 35.136989 | OH | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | MD53974 | TN | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | ME133257 | FL | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.