Individual
DENNIS MCCALISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 S ORANGE BLOSSOM TRL STE 229, ORLANDO, FL 32805-3195
(407) 745-5022
Mailing address
750 S ORANGE BLOSSOM TRL STE 229, ORLANDO, FL 32805-3195
(407) 745-5022
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25B00000X
—
FL
Enumeration date
07/19/2015
Last updated
07/19/2015
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