| Doctor Name: | DR. CESAR ARTURO CALDERON |
| NPI Number: | 1669630422 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ACN63 |
| Business Practice Address: | 3950 Tiger Bay Rd Tomoka Correctional Institution Medical Dept Daytona Beach, FL - 321241098 |
| Business Phone Number: | 3863231120 |
| Business Fax Number: | 3863231168 |
| Mailing Address: | 3950 Tiger Bay Rd, Medical Tomoka Correctional Institution DAYTONA BEACH |
| State: | FL |
| Postal Code: | 321241098 |
| Phone Number: | 3863231120 |
| Fax Number: | 3863231168 |
| NPI Enumeration Date: | 05/29/2008 |
| NPI Last Update Date: | 05/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ACN63 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |