Organization
JOEL P KALLAN MD PA
Active
Organization
JOEL P KALLAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL KALLAN (PRES)
(305) 858-6400
Entity
Organization
Contact information
Practice address
1763 CORAL WAY, CORAL GABLES, FL 33145-2728
(305) 858-6400
(305) 858-3233
Mailing address
1763 CORAL WAY, CORAL GABLES, FL 33145-2728
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME11721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016232
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
08/22/2020
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