Provider Demographics
NPI:1720674534
Name:KALDAS, GEORGE M (DC)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:M
Last Name:KALDAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N PALM AIRE DR APT 201
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3482
Mailing Address - Country:US
Mailing Address - Phone:954-604-2643
Mailing Address - Fax:
Practice Address - Street 1:421 NORTHLAKE BLVD STE F
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-5413
Practice Address - Country:US
Practice Address - Phone:561-867-6645
Practice Address - Fax:561-842-1362
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL13289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor