Individual
CAROLE A KALIVODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6440 W NEWBERRY RD, SUITE 409, GAINESVILLE, FL 32605-4381
(352) 333-6161
(352) 333-6162
Mailing address
6440 W NEWBERRY RD, SUITE 409, GAINESVILLE, FL 32605-4381
(352) 333-6161
(352) 333-6162
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP 913452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015670200
—
FL
01
—
P00406423
MEDICARE RAILROAD
FL
Enumeration date
07/27/2006
Last updated
10/19/2015
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