Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083479372 Individual Practitioner Female Practitioner

Kandyce Lopez , PA

Physician Assistant • Venice, FL

Professional Overview & Biography Verified Profile Summary

Kandyce Lopez, PA is a certified Physician Assistant practicing in Venice, FL. With approximately 3 years of clinical experience since completing medical education in 2023, Kandyce Lopez delivers high-quality medical care to the local community at 8036 S TAMIAMI TRL.

Kandyce Lopez is affiliated with Millennium Physician Group Llc and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

8036 S Tamiami Trl

Venice, FL 342935113

Telephone 9412444300
Fax 9412444380
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Venice, FL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -8.6 yrs vs City Avg
City Avg: 11.6 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
42 Specialists

Practicing in Venice, FL (10376 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lopez (3 Years) 3 Yrs
Venice Specialty Average (11.6 Years) 11.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9118394

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Millennium Physician Group Llc

8036 S Tamiami Trl, Venice, FL 342935113

Phone: 9412444300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Jay Humphrey , PHYSICIAN ASSISTANT

Physician Assistant - Medical

NPI 1497977235

PHYSICIANASSISTANT

Dr. James Pineno , MD

Family Medicine

NPI 1578862447

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 14, 2025

Registered at 8036 S TAMIAMI TRL, VENICE, FL 342935113 (Tel: 9412444300)

📍
Updated Business Mailing Address November 14, 2025

Registered at 2675 WINKLER AVE STE 200, FORT MYERS, FL 339019328 (Tel: 8778563774)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2025

Physician Assistant (License #PA9118394 in FL)

NPI Profile Active February 16, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2024

Registered at 4216 CORTEZ RD W, BRADENTON, FL 342103121 (Tel: 9415003100)

📍
Updated Business Mailing Address February 16, 2024

Registered at 4216 CORTEZ RD W, BRADENTON, FL 342103121 (Tel: 9415003100)

👤
Provider Name / Credentials Updated February 16, 2024

Recorded as KANDYCE LOPEZ, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2024

Physician Assistant (License #PA9118394 in FL)

🟢
Initial NPI Registration & Enumeration February 16, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083479372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2024
Last Update: November 14, 2025
Sole Proprietor: No

Mailing Address

2675 Winkler Ave Ste 200

Fort Myers, FL 339019328

Phone: 8778563774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.