Provider Demographics
NPI:1912612128
Name:CALDERON, ASHLEIGH (LMT, CD, PCD)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:CALDERON
Suffix:
Gender:F
Credentials:LMT, CD, PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 BIRCH AVE
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32953-4213
Mailing Address - Country:US
Mailing Address - Phone:321-663-5930
Mailing Address - Fax:
Practice Address - Street 1:1790 A1A HWY STE 206
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-5440
Practice Address - Country:US
Practice Address - Phone:321-663-5930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula