Provider Demographics
NPI:1255586038
Name:CALVO, JOHAN (PRESIDENT)
Entity type:Individual
Prefix:MR
First Name:JOHAN
Middle Name:
Last Name:CALVO
Suffix:
Gender:M
Credentials:PRESIDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 441157
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-1157
Mailing Address - Country:US
Mailing Address - Phone:786-897-0925
Mailing Address - Fax:
Practice Address - Street 1:2250 GULF GATE DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-4838
Practice Address - Country:US
Practice Address - Phone:305-335-1823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist