Calderon Perez, Santiago Willman

Calderon Perez, Santiago Willman is an sole proprietor health care provider with primary practice located at 60 Memorial Medical Pkwy , Palm Coast FL 32164-5980. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Calderon Perez, Santiago Willman can be contacted via phone (706) 529-8953.

Contact Information

Primary practice address
60 Memorial Medical Pkwy Palm Coast FL 32164-5980
Phone: (706) 529-8953
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME 70874 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME 70874 Florida

Profile Details

NPI number 1790755759
LBN Legal business name Calderon Perez, Santiago Willman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Jul 28th, 2025 - about last year

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 1790755759 NPPES
Florida Other 000830802 HUMANA
Florida Other 13935 HUMANA
Florida Other 150170 HUMANA
Florida MEDICAID 251036700 HUMANA
Florida Other 440001648 HUMANA
Florida Other 31616 HUMANA

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