Organization
ACTAMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CALLAHAN III MD (PRESIDENT)
(509) 679-2668
Entity
Organization
Contact information
Practice address
3425 BAYSIDE LAKES BLVD SE # 10310114, PALM BAY, FL 32909-6867
(385) 229-9889
Mailing address
10281 BENTLEY OAKS AVE, LAS VEGAS, NV 89135-2037
(509) 679-2668
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
07/14/2025
Last updated
09/19/2025
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