Healthcare Provider Details

I. General information

NPI: 1033049242
Provider Name (Legal Business Name): VICTORIA CALDERON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1222 S ORANGE AVE
ORLANDO FL
32806-1215
US

IV. Provider business mailing address

619 ELLSWORTH ST
ALTAMONTE SPRINGS FL
32701-6803
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-6444
  • Fax:
Mailing address:
  • Phone: 786-346-7326
  • Fax: 786-346-7326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN9395931
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: