Individual
DR. STELLA DIVINA CALOBRISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
880 NW 13TH ST, SUITE 3B, BOCA RATON, FL 33486-2342
(561) 393-0300
(561) 393-0048
Mailing address
880 NW 13TH ST, SUITE 3B, BOCA RATON, FL 33486-2342
(561) 393-0300
(561) 393-0048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME78997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115370
PENN BLUE SHIELD
PA
01
—
650962920
TAX ID
FL
01
—
78997
LICENSE
FL
01
—
BC/BS FL
49480
FL
Enumeration date
07/25/2006
Last updated
03/07/2023
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