Provider Demographics
NPI:1669630422
Name:CALDERON, CESAR ARTURO (MD)
Entity Type:Individual
Prefix:DR
First Name:CESAR
Middle Name:ARTURO
Last Name:CALDERON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3950 TIGER BAY RD
Mailing Address - Street 2:MEDICAL TOMOKA CORRECTIONAL INSTITUTION
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32124-1098
Mailing Address - Country:US
Mailing Address - Phone:386-323-1120
Mailing Address - Fax:386-323-1168
Practice Address - Street 1:3950 TIGER BAY RD
Practice Address - Street 2:TOMOKA CORRECTIONAL INSTITUTION MEDICAL DEPT
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32124-1098
Practice Address - Country:US
Practice Address - Phone:386-323-1120
Practice Address - Fax:386-323-1168
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR5746208D00000X
FLACN63208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice