Provider Demographics
NPI:1770004806
Name:CALDERON IZQUIERDO, BARBARA MADAY (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:MADAY
Last Name:CALDERON IZQUIERDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 W ATKINSON ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-1015
Mailing Address - Country:US
Mailing Address - Phone:305-394-2471
Mailing Address - Fax:
Practice Address - Street 1:11211 N NEBRASKA AVE STE A5
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612
Practice Address - Country:US
Practice Address - Phone:813-514-2333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-28
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN1127208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice