Healthcare Provider Details

I. General information

NPI: 1114138534
Provider Name (Legal Business Name): CARMEN CALFA MEDICAL ONCOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 05/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 JOHNSON ST MEMORIAL HEALTH SYSTEM/BREAST CANCER CENTER
HOLLYWOOD FL
33021-6031
US

IV. Provider business mailing address

PO BOX 862233 MEMORIAL HEALTH SYSTEM
ORLANDO FL
32886-2233
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-6990
  • Fax: 954-965-6388
Mailing address:
  • Phone: 954-265-6990
  • Fax: 954-965-6388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberTRN004767
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: