Healthcare Provider Details

I. General information

NPI: 1023946522
Provider Name (Legal Business Name): CALVETTI AND COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 ROYAL PALM PT
VERO BEACH FL
32960-5238
US

IV. Provider business mailing address

10 ROYAL PALM PT
VERO BEACH FL
32960-5238
US

V. Phone/Fax

Practice location:
  • Phone: 772-770-9903
  • Fax:
Mailing address:
  • Phone: 772-770-9903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HERMAN FOUNTAIN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 772-770-9903