Individual
MR. JOSEPH ALLEN CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
4505 PGA BLVD, PALM BEACH GARDENS, FL 33418-3967
(561) 622-2090
Mailing address
4505 PGA BLVD, PALM BEACH GARDENS, FL 33418
(561) 622-2090
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO1664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048570001
DMERC
FL
Enumeration date
08/02/2006
Last updated
07/08/2007
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