Healthcare Provider Details

I. General information

NPI: 1477449932
Provider Name (Legal Business Name): PATRICIA CALIXTE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 CORPORATE DRIVE SUITE 100 #1062
BOYNTON BEACH FL
33426
US

IV. Provider business mailing address

1501 CORPORATE DRIVE SUITE 100 #1062
BOYNTON BEACH FL
33426
US

V. Phone/Fax

Practice location:
  • Phone: 877-442-6234
  • Fax:
Mailing address:
  • Phone: 877-442-6234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Q00000X
TaxonomyPathology Specialist/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9420941
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: