Organization
CALLISIA HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANA GONZALEZ APRN (OWNER)
(305) 898-0849
Entity
Organization
Contact information
Practice address
11440 N KENDALL DR STE 208, MIAMI, FL 33176-1024
(305) 898-0849
(305) 402-5884
Mailing address
11430 N KENDALL DR STE D309, MIAMI, FL 33176-1032
(305) 898-0849
(305) 402-5884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107863300
—
FL
Enumeration date
06/30/2020
Last updated
05/23/2024
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