Individual
DR. CALVIN MAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11808 SAN JOSE BLVD STE 3, JACKSONVILLE, FL 32223-1862
(904) 854-9600
(904) 854-4667
Mailing address
PMB #140, 9838 OLD BAYMEADOWS RD., JACKSONVILLE, FL 32256
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME91088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16846
BCBS NUMBER
FL
Enumeration date
10/06/2005
Last updated
07/09/2007
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