Calderon, Jose G

Calderon, Jose G is an individual health care provider with primary practice located at 3100 Sw 62Nd Ave , Miami FL 33155-3009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Calderon, Jose G can be contacted via phone (305) 662-8272.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Miami FL 33155-3009
Phone: (305) 662-8272
Fax: (305) 663-6868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 035659 Connecticut
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X ME77345 Florida
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 35659 Connecticut

Profile Details

NPI number 1699758813
LBN Legal business name Calderon, Jose G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 18th, 2013 - about 13 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 1699758813 NPPES
Florida MEDICAID 008381300
Florida MEDICAID 001356593

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