| Doctor Name: | MICHAEL C CAVALLARO |
| NPI Number: | 1548213879 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME54263 |
| Business Practice Address: | 1600 Phillips Rd Tallahassee, FL - 323085304 |
| Business Phone Number: | 8508784127 |
| Business Fax Number: | 8508780337 |
| Mailing Address: | Po Box 1678, TALLAHASSEE |
| State: | FL |
| Postal Code: | 323021678 |
| Phone Number: | 8508784102 |
| Fax Number: | 8509424155 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 07/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | ME54263 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |