Individual
DR. HUMBERTO JOSE CALDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3450 LANTANA RD, SUITE 100, LAKE WORTH, FL 33462-1329
(561) 965-1864
(561) 967-5005
Mailing address
3450 LANTANA RD, SUITE 100, LAKE WORTH, FL 33462-1329
(561) 965-1864
(561) 967-5005
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME78029
FL
207RH0003X
Hematology & Oncology Physician
Primary
ME78029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270462500
—
FL
01
—
ME78029
LICENSE
FL
Enumeration date
05/20/2006
Last updated
11/04/2010
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