Provider Demographics
NPI:1669688834
Name:CALDERIN, JULIO A (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:A
Last Name:CALDERIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1205 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4407
Mailing Address - Country:US
Mailing Address - Phone:407-343-4983
Mailing Address - Fax:407-343-4705
Practice Address - Street 1:1205 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-4407
Practice Address - Country:US
Practice Address - Phone:407-343-4983
Practice Address - Fax:407-343-4705
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1211622086S0129X
TXN7235208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery