Individual
EMEL D SIBAJA CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, AGACNP-BC
Contact information
Practice address
405 LIONEL WAY, DAVENPORT, FL 33837-7811
(863) 353-1390
Mailing address
457 ADRIEL AVE, WINTER HAVEN, FL 33880-5529
(863) 608-1860
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
11030586
FL
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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