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General NPI Number Information
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NPI Number | 1679839310
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Entity Type | Organization
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Legal Business Name | CALIXTE MEDICAL CENTER INC.
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | 8910 MIRAMAR PKWY SUITE 117
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City | MIRAMAR
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State | FL
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Zip | 33025-4100
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Country | US
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Telephone | 954-442-6988
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Fax | 954-441-2859
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Provider Business Mailing Address
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Address Line | 8910 MIRAMAR PKWY SUITE 117
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City | MIRAMAR
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State | FL
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Zip | 33025-4100
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Country | US
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Telephone | 954-442-6988
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Fax | 954-441-2859
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HAROLD CALIXTE
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Credential |
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Telephone | 954-442-6988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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