Individual
JUAN CALISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 SW 60TH CT STE 201, MIAMI, FL 33155-4070
(305) 662-8220
(305) 665-2467
Mailing address
3200 SW 60TH CT, SUITE #201, MIAMI, FL 33155-4000
(305) 662-8320
(305) 665-2467
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27042
OK
2086S0102X
Surgical Critical Care Physician
132498
FL
2086S0120X
Pediatric Surgery Physician
Primary
132498
FL
Other
Enumeration date
05/27/2009
Last updated
03/17/2018
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