Calzado-Ricketts, Nally
Calzado-Ricketts, Nally is an individual health care provider with primary practice located at 2090 Saxon Blvd Ste B , Deltona FL 32725-3251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Calzado-Ricketts, Nally can be contacted via phone (386) 425-3300.Contact Information
Primary practice address
2090 Saxon Blvd Ste B
Deltona FL 32725-3251
Phone: (386) 425-3300
Fax: (386) 425-3301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24808 | Florida |
Profile Details
| NPI number | 1790206779 |
|---|---|
| LBN Legal business name | Calzado-Ricketts, Nally |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2017 |
| Last updated | Sep 29th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790206779 | NPPES |
| Florida | MEDICAID | 107096800 |
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