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NPI Code Detail

MEDICARE: DR. LEONEL MARTIN CALDERON M.D

MEDICARE: DR. LEONEL MARTIN CALDERON M.D
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
1207Q00000XFamily Medicine PhysicianME77576FL

General Provider Information

NPI Number : 1215021944
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONEL MARTIN CALDERON M.D
Provider Business Mailing Address
First Line : 540 WEST AVE
Second Line : #414
City : MIAMI BEACH
State : FL
Zip : 33139-6768
Country : US
Telephone Number : 305-205-8846
Fax Number :
Provider Business Practice Location Address
First Line : 750 S FEDERAL HWY
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33020-5424
Country : US
Telephone Number : 954-342-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/08/2007

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