Provider Demographics
NPI:1972560159
Name:CALDERWOOD, JANET SEAN (RD)
Entity Type:Individual
Prefix:MISS
First Name:JANET
Middle Name:SEAN
Last Name:CALDERWOOD
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8271 KEY ROYAL CIR
Mailing Address - Street 2:UNIT 923
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-6817
Mailing Address - Country:US
Mailing Address - Phone:239-248-6191
Mailing Address - Fax:
Practice Address - Street 1:300 GOODLETTE RD S
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6426
Practice Address - Country:US
Practice Address - Phone:239-436-6768
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 4440133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered