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NPI Code Detail

MEDICARE: DR. BARBARA MADAY CALDERON IZQUIERDO MD

MEDICARE: DR. BARBARA MADAY CALDERON IZQUIERDO MD
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
1208D00000XGeneral Practice PhysicianACN1127FL

Other Identifiers

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

General Provider Information

NPI Number : 1770004806
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA MADAY CALDERON IZQUIERDO MD
Provider Business Mailing Address
First Line : 1711 W ATKINSON ST
Second Line :
City : TAMPA
State : FL
Zip : 33604-1015
Country : US
Telephone Number : 305-394-2471
Fax Number :
Provider Business Practice Location Address
First Line : 1563 LAND O LAKES BLVD
Second Line :
City : LUTZ
State : FL
Zip : 33549-2930
Country : US
Telephone Number : 813-949-4224
Fax Number : 866-372-2717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2017
Last Update Date : 12/03/2024

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