Provider Demographics
NPI:1770004806
Name:CALDERON IZQUIERDO, BARBARA MADAY (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:MADAY
Last Name:CALDERON IZQUIERDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1711 W ATKINSON ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-1015
Mailing Address - Country:US
Mailing Address - Phone:305-394-2471
Mailing Address - Fax:
Practice Address - Street 1:1563 LAND O LAKES BLVD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-2930
Practice Address - Country:US
Practice Address - Phone:813-949-4224
Practice Address - Fax:866-372-2717
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-28
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLACN1127208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice