Individual provider · NPI-1

Elvis E. Calderon

Massage Therapist · Doral, FL

NPI number1740405125
StatusActive
Last updated in NPPESJul 16, 2007

Details

NPI
1740405125
Entity type
Individual (NPI-1)
Name
Mr. Elvis E. Calderon
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2007
Last updated
Jul 16, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist––Yes

Practice location

7705 Nw 48th St
Suit 120
Doral, FL 33166-5454

Phone 305-510-4279

Mailing address

7720 Sw 163rd Pl
Miami, FL 33193-3448

Phone 305-510-4279

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