Individual
ENRIQUE C CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5838 54TH AVE N, KENNETH CITY, FL 33709-1902
(813) 879-1200
Mailing address
3205 58TH ST S APT 113, GULFPORT, FL 33707-6001
(813) 879-1200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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