MEDICARE: PAUL CALISE MD

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	2084N0400X	Neurology Physician	ME0048776	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	02128	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1841240496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL CALISE MD

Provider Business Mailing Address
First Line	:	2021 E COMMERCIAL BLVD
Second Line	:	STE 201
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3763
Country	:	US
Telephone Number	:	954-928-0611
Fax Number	:	866-854-1909

Provider Business Practice Location Address
First Line	:	2021 E COMMERCIAL BLVD
Second Line	:	STE 201
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-3763
Country	:	US
Telephone Number	:	954-928-0611
Fax Number	:	866-854-1909

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

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	09/16/2009

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Directions to “ PAUL CALISE MD” Practice Location

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