Provider Demographics
NPI:1770187346
Name:CALLERI, JULIANA TAYLOR
Entity Type:Individual
Prefix:
First Name:JULIANA
Middle Name:TAYLOR
Last Name:CALLERI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5160 ABAGAIL DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-2707
Mailing Address - Country:US
Mailing Address - Phone:352-263-9363
Mailing Address - Fax:
Practice Address - Street 1:14381 SPRING HILL DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-8199
Practice Address - Country:US
Practice Address - Phone:352-556-0029
Practice Address - Fax:352-556-0034
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH27806124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist