Calderon, Mikel

Calderon, Mikel is an individual health care provider with primary practice located at 2307 W Broward Blvd Ste 200, Fort Lauderdale FL 33312-1417. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Calderon, Mikel can be contacted via phone (954) 792-1010.

Contact Information

Primary practice address
2307 W Broward Blvd Ste 200 Fort Lauderdale FL 33312-1417
Phone: (954) 792-1010
Fax: (954) 792-1199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9109411 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1154567063
LBN Legal business name Calderon, Mikel
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2008
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154567063 NPPES
California Other BO758W PTAN

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