Provider Demographics
NPI:1780315259
Name:CALVINO FAMILY MEDICINE PLLC
Entity type:Organization
Organization Name:CALVINO FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALVINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-637-0911
Mailing Address - Street 1:260 MILUS ST
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-3824
Mailing Address - Country:US
Mailing Address - Phone:941-637-0911
Mailing Address - Fax:941-637-9153
Practice Address - Street 1:260 MILUS ST
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3824
Practice Address - Country:US
Practice Address - Phone:941-637-0911
Practice Address - Fax:941-637-9153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty