Individual
JOSE LUIS CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN 11001721
Contact information
Practice address
11531 SW 6TH ST, MIAMI, FL 33174-3701
(786) 715-8969
Mailing address
11531 SW 6TH ST, MIAMI, FL 33174-3701
(786) 715-8969
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
11001721
FL
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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