Individual
MR. STEPHEN JO CALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1292 EAST BLUEBIRD COURT, HERNANDO, FL 34442
(352) 201-2758
Mailing address
1292 EAST BLUEBIRD COURT, HERNANDO, FL 34442
(352) 201-2758
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
OS4500
FL
208D00000X
General Practice Physician
Primary
OS0004500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069172100
—
FL
Enumeration date
02/02/2006
Last updated
06/09/2015
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