Individual
DR. CLYDE CALENSO VANTERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 US HIGHWAY 27 N STE C4, SEBRING, FL 33870-1000
(863) 991-9060
(863) 991-9069
Mailing address
PO BOX 9034, SEBRING, FL 33872-0134
(863) 835-2158
(863) 991-9060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME67760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377470800
—
FL
Enumeration date
03/27/2006
Last updated
01/21/2025
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