Organization
SANTIAGO W CALDERON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTIAGO W CALDERON M.D. (PREDISENT)
(407) 268-5415
Entity
Organization
Contact information
Practice address
1668 S VOLUSIA AVE, ORANGE CITY, FL 32763-7335
(386) 668-0200
Mailing address
4916 SAN MARINO CIR, LAKE MARY, FL 32746-2608
(407) 268-5415
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0070874
FL
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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