Healthcare Provider Details

I. General information

NPI: 1083603450
Provider Name (Legal Business Name): STEVEN JOSEPH CALDRONEY DDS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8035 COOPER CREEK BLVD STE 115
UNIVERSITY PARK FL
34201-2028
US

IV. Provider business mailing address

8035 COOPER CREEK BLVD STE 115
UNIVERSITY PARK FL
34201-2028
US

V. Phone/Fax

Practice location:
  • Phone: 941-269-3103
  • Fax:
Mailing address:
  • Phone: 941-269-3103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number051287
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: