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NPI Code Detail

MEDICARE: DOMENICK ANTHONY CALISE DPM

MEDICARE:   DOMENICK ANTHONY CALISE  DPM
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
1213ES0131XFoot Surgery PodiatristPO3744FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PO3744OTHERFLLICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609955145
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMENICK ANTHONY CALISE DPM
Provider Business Mailing Address
First Line : 6326 FORT KING RD
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-2531
Country : US
Telephone Number : 813-788-3600
Fax Number : 813-788-7010
Provider Business Practice Location Address
First Line : 6326 FORT KING RD
Second Line :
City : ZEPHYRHILLS
State : FL
Zip : 33542-2531
Country : US
Telephone Number : 813-788-3600
Fax Number : 813-788-7010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2006
Last Update Date : 10/30/2015

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Directions to “ DOMENICK ANTHONY CALISE DPM” Practice Location

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