Domingo, Gelenis Calzadilla

Domingo, Gelenis Calzadilla is an individual health care provider with primary practice located at 20801 Biscayne Boulevard Suite 200, Aventura FL 33180-1422. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Domingo, Gelenis Calzadilla can be contacted via phone (954) 265-4325.

Contact Information

Primary practice address
20801 Biscayne Boulevard Suite 200 Aventura FL 33180-1422
Phone: (954) 265-4325
Fax: (305) 935-3186
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME110846 Florida

Profile Details

NPI number 1558534545
LBN Legal business name Domingo, Gelenis Calzadilla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2008
Last updated Mar 19th, 2021 - about 4 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 1558534545 NPPES
Florida MEDICAID 004108900

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