Individual
MRS. AMY DIANE CALCOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
2673 FOX CREEK DR E, JACKSONVILLE, FL 32221-2895
(904) 507-1003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9288726
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158359A
—
GA
05
—
014324700
—
FL
Enumeration date
01/19/2015
Last updated
08/13/2015
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