Provider Demographics
NPI:1114138534
Name:CALFA, CARMEN (MEDICAL ONCOLOGIST)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:
Last Name:CALFA
Suffix:
Gender:F
Credentials:MEDICAL ONCOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 862233
Mailing Address - Street 2:MEMORIAL HEALTH SYSTEM
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-2233
Mailing Address - Country:US
Mailing Address - Phone:954-265-6990
Mailing Address - Fax:954-965-6388
Practice Address - Street 1:3700 JOHNSON ST
Practice Address - Street 2:MEMORIAL HEALTH SYSTEM/BREAST CANCER CENTER
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6031
Practice Address - Country:US
Practice Address - Phone:954-265-6990
Practice Address - Fax:954-965-6388
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN004767207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265115700Medicaid
FLE4415ZOtherMEDICARE