Provider Demographics
NPI:1801129721
Name:CALVO, ASHLEY JANELLE (PA-C PHYSICIAN ASSI)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:JANELLE
Last Name:CALVO
Suffix:
Gender:F
Credentials:PA-C PHYSICIAN ASSI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 ALTON ROAD
Mailing Address - Street 2:SUITE #705 MOUNT SINAI OFFICE PAVILION
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140
Mailing Address - Country:US
Mailing Address - Phone:305-534-8480
Mailing Address - Fax:305-534-5477
Practice Address - Street 1:4302 ALTON ROAD
Practice Address - Street 2:SUITE #705 MOUNT SINAI OFFICE PAVILION
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140
Practice Address - Country:US
Practice Address - Phone:305-534-8480
Practice Address - Fax:305-534-5477
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105098363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant