Individual
DIANA CALDERONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 VIA BELLA BLVD, SUITE 101, LAND O LAKES, FL 34639-5403
(813) 948-1498
(813) 355-5040
Mailing address
38135 MARKET SQUARE, ZEPHYRHILLS, FL 33542
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME63051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016781
RR MEDICARE
FL
Enumeration date
08/05/2006
Last updated
08/25/2021
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