Individual
ELISE CALZADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10301 LAUREL CT, PEMBROKE PNES, FL 33026-2409
(954) 556-0210
Mailing address
10301 LAUREL CT, PEMBROKE PNES, FL 33026-2409
(954) 556-0210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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