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NPI Code Detail

MEDICARE: IVONNE CALCEDO

MEDICARE:   IVONNE  CALCEDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1372600000XAdult Companion

General Provider Information

NPI Number : 1003172610
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVONNE CALCEDO
Provider Business Mailing Address
First Line : 7501 PURITAN RD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-8411
Country : US
Telephone Number : 407-591-2694
Fax Number : 407-830-0220
Provider Business Practice Location Address
First Line : 7501 PURITAN RD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-8411
Country : US
Telephone Number : 407-591-2694
Fax Number : 407-830-0220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2012
Last Update Date : 04/09/2012

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Directions to “ IVONNE CALCEDO ” Practice Location

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