Individual
JEANNINE CASTANEDA CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16966 CAGAN RIDGE BLVD STE 220, CLERMONT, FL 34714-9656
(321) 843-5851
(321) 843-1673
Mailing address
16966 CAGAN RIDGE BLVD STE 220, CLERMONT, FL 34714-9656
(321) 843-5851
(321) 843-1673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9113816
FL
363AM0700X
Medical Physician Assistant
Primary
PA9113816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113752000
—
FL
Enumeration date
11/04/2020
Last updated
08/18/2025
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