Individual
MYRNA HAYDEE CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7019 NW 11TH PL, GAINESVILLE, FL 32605-3145
(352) 376-1611
(352) 379-4082
Mailing address
13601 NW 19TH PL, GAINESVILLE, FL 32606-5353
(305) 731-9437
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103572
FL
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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