Doctor Name: | DR. CALVI ENID PABON-NADAL |
NPI Number: | 1578996146 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 5113 |
Business Practice Address: | 2575 N Courtenay Pkwy Merritt Island, FL - 329534126 |
Business Phone Number: | 3214547165 |
Business Fax Number: | |
Mailing Address: | 4825 N Us Highway 1, MELBOURNE |
State: | FL |
Postal Code: | 329357207 |
Phone Number: | 3212710170 |
Fax Number: | 3216107638 |
NPI Enumeration Date: | 08/18/2013 |
NPI Last Update Date: | 08/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |