Provider Demographics
NPI:1245681279
Name:CALDERIN PELLOT, YAILIZ BETH (MD)
Entity type:Individual
Prefix:DR
First Name:YAILIZ
Middle Name:BETH
Last Name:CALDERIN PELLOT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6026 NW 1ST PL STE 20
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-6062
Mailing Address - Country:US
Mailing Address - Phone:352-331-3353
Mailing Address - Fax:
Practice Address - Street 1:6026 NW 1ST PL STE 20
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6062
Practice Address - Country:US
Practice Address - Phone:523-323-3533
Practice Address - Fax:352-333-9035
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-30
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL145930208100000X
FLME1459302081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine