Individual
JOSE L CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28960 US HIGHWAY 19 N, SUITE 109, CLEARWATER, FL 33761-2403
(727) 785-7686
(727) 785-9669
Mailing address
28960 US HIGHWAY 19 N, SUITE 109, CLEARWATER, FL 33761-2403
(727) 785-7686
(727) 785-9669
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
96046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276207200
—
FL
01
—
P00867672
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
10/24/2006
Last updated
03/08/2011
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