MEDICARE: DR. HARRY FRANCIS CALISCH III M.D.

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
1	207R00000X	Internal Medicine Physician	32666	AL

General Provider Information

NPI Number	:	1497013361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRY FRANCIS CALISCH III M.D.

Provider Business Mailing Address
First Line	:	77 BAY BRIDGE DR
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32561-4468
Country	:	US
Telephone Number	:	850-912-9156
Fax Number	:	970-876-6582

Provider Business Practice Location Address
First Line	:	77 BAY BRIDGE DR
Second Line	:
City	:	GULF BREEZE
State	:	FL
Zip	:	32561-4468
Country	:	US
Telephone Number	:	850-912-9156
Fax Number	:	970-876-6582

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2012
Last Update Date	:	06/15/2024

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