Individual
DANIEL M CALLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000B 1 SAWGRASS VILLAGE CIRCLE, PONTE VEDRA BEACH, FL 32082
(904) 273-8280
(904) 273-4724
Mailing address
6000B 1 SAWGRASS VILLAGE CIRCLE, PONTE VEDRA BEACH, FL 32082
(904) 273-8280
(904) 273-4724
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME64362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23029
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/16/2006
Last updated
02/19/2014
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