Jacobs, Idamir Calderon

Jacobs, Idamir Calderon is an individual health care provider with primary practice located at 9320 Us Highway 301 S , Riverview FL 33578-6300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Jacobs, Idamir Calderon can be contacted via phone (813) 471-0000.

Contact Information

Primary practice address
9320 Us Highway 301 S Riverview FL 33578-6300
Phone: (813) 471-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN9273683 Florida

Profile Details

NPI number 1760720767
LBN Legal business name Jacobs, Idamir Calderon
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2013
Last updated Nov 21st, 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 1760720767 NPPES
Florida MEDICAID 101122200

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