Calderon, Guillermo E

Calderon, Guillermo E is an individual health care provider with primary practice located at 6700 Crosswinds Dr N Ste 200A, St Petersburg FL 33710-5473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Calderon, Guillermo E can be contacted via phone (727) 344-4651.

Contact Information

Primary practice address
6700 Crosswinds Dr N Ste 200A St Petersburg FL 33710-5473
Fax: (727) 347-6224
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME77531 Florida

Profile Details

NPI number 1669478939
LBN Legal business name Calderon, Guillermo E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669478939 NPPES
Florida MEDICAID 256112300

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