Individual
MRS. TERESA TRINIDAD CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
715 N LAKE AVE, LAKELAND, FL 33801
(863) 519-0575
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
006586
PR
163W00000X
Registered Nurse
Primary
RN9501003
FL
Other
Enumeration date
10/29/2012
Last updated
04/23/2019
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