Provider Demographics
NPI:1912258021
Name:CHRISTOPHER J CALCAGNI DPM PA
Entity Type:Organization
Organization Name:CHRISTOPHER J CALCAGNI DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:CALCAGNI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:239-596-7024
Mailing Address - Street 1:1205 PIPER BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110
Mailing Address - Country:US
Mailing Address - Phone:239-596-7024
Mailing Address - Fax:855-700-2581
Practice Address - Street 1:1205 PIPER BLVD
Practice Address - Street 2:SUITE #102
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110
Practice Address - Country:US
Practice Address - Phone:239-596-7024
Practice Address - Fax:855-700-2581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3393213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002283200Medicaid