Provider Demographics
NPI:1902589328
Name:CALVO MARCELO, MILAGROS YADENIS (APRN)
Entity Type:Individual
Prefix:
First Name:MILAGROS
Middle Name:YADENIS
Last Name:CALVO MARCELO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6800 N DALE MABRY HWY STE 150
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3979
Mailing Address - Country:US
Mailing Address - Phone:813-252-6013
Mailing Address - Fax:813-755-4539
Practice Address - Street 1:6800 N DALE MABRY HWY STE 150
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3979
Practice Address - Country:US
Practice Address - Phone:813-252-6013
Practice Address - Fax:813-755-4539
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11027968207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine