Individual
DR. INGRID KISHA NIDRA CALLISTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1865 NIGHTINGALE LN STE A, TAVARES, FL 32778-4360
(352) 385-5800
Mailing address
13900 CR 455, SUITE 107, #373, CLERMONT, FL 34711-9029
(352) 385-7718
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME135623
FL
Other
Enumeration date
08/24/2010
Last updated
05/14/2021
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