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NPI Code Detail

MEDICARE: MRS. DENISE RENEE MCCALISTER

MEDICARE:  MRS. DENISE RENEE MCCALISTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1154584928
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENISE RENEE MCCALISTER
Provider Business Mailing Address
First Line : 5520 W IDLEWILD AVE
Second Line :
City : TAMPA
State : FL
Zip : 33634-8015
Country : US
Telephone Number : 813-901-3437
Fax Number :
Provider Business Practice Location Address
First Line : 5520 WEST IDLEWILD AVENUE
Second Line : FAMILY SUPPORT CENTER
City : TAMPA
State : FL
Zip : 33634-8015
Country : US
Telephone Number : 813-901-3437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2008
Last Update Date : 07/02/2008

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Directions to “ MRS. DENISE RENEE MCCALISTER ” Practice Location

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