Healthcare Provider Details

I. General information

NPI: 1619998028
Provider Name (Legal Business Name): MICHAEL Z KALTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2032 US 1
VERO BEACH FL
32960-5420
US

IV. Provider business mailing address

601 S HARBOUR ISLAND BLVD STE 200
TAMPA FL
33602-5925
US

V. Phone/Fax

Practice location:
  • Phone: 772-213-9614
  • Fax: 772-213-9615
Mailing address:
  • Phone: 727-322-3439
  • Fax: 800-928-7449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME53918
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: