Individual
LIDA CALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
575 EMERALD LN, FORT WALTON BEACH, FL 32547-3406
(850) 374-2457
Mailing address
575 EMERALD LN, FORT WALTON BEACH, FL 32547-3406
(850) 374-2457
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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