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Individual

JOSE G CALDERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 662-8272
(305) 663-6868
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 662-8272
(305) 663-6868

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME77345
FL
2080P0201X
Pediatric Allergy/Immunology Physician
035659
CT
2080P0201X
Pediatric Allergy/Immunology Physician
35659
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001356593
CT
05
008381300
FL
Enumeration date
11/22/2005
Last updated
07/18/2013
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