Individual
DEIDRE MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W OAK ST STE 101, KISSIMMEE, FL 34741-6605
(407) 846-3455
Mailing address
801 W OAK ST STE 101, KISSIMMEE, FL 34741-6605
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11032435
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
11032435
FL
Other
Enumeration date
07/12/2024
Last updated
05/12/2026
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