Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gincy Liz Kandankulam, MD

Individual provider Family Medicine Physician · NPI 1477883965

Gincy Liz Kandankulam, MD is a Family Practice in Wellington, Florida. Qualified in 2004, 22 years ago. Practices with Bocacare Inc, a 197-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2465 S State Road 7 Ste 800
Wellington, FL 33414-9348
Phone: (561) 784-4930
Fax: (561) 793-4544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 121147 (FL)

Record details

NPI number1477883965
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 5, 2010
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Bocacare Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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