Individual
FREDDY J CALDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 MINOLA DR, MIAMI SPRINGS, FL 33166-6036
(305) 649-6111
(305) 649-1448
Mailing address
480 MINOLA DR, MIAMI SPRINGS, FL 33166-6036
(305) 649-6111
(305) 649-1448
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 50220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061642700
—
FL
01
—
650127333
TAX IDENTIFICATION NUMBER
FL
Enumeration date
05/11/2006
Last updated
09/12/2012
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