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General NPI Number Information
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NPI Number | 1780315259
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Entity Type | Organization
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Legal Business Name | CALVINO FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 260 MILUS ST
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City | PUNTA GORDA
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State | FL
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Zip | 33950-3824
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Country | US
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Telephone | 941-637-0911
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Fax | 941-637-9153
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Provider Business Mailing Address
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Address Line | 260 MILUS ST
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City | PUNTA GORDA
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State | FL
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Zip | 33950-3824
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Country | US
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Telephone | 941-637-0911
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Fax | 941-637-9153
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | STEPHANE CALVINO
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Credential | MD
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Telephone | 941-637-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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