| Calm Provider Group,llc | |
|
455 Fairway Dr Ste 213 Deerfield Beach FL 33441-1809 | |
| (954) 332-9765 | |
| (954) 944-5968 |
| Full Name | Calm Provider Group,llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 455 Fairway Dr Ste 213, Deerfield Beach, Florida |
| Authorized Official Name and Position | Danela Civil (PRESIDENT) |
| Authorized Official Contact | 5613055340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Provider Group,llc 455 Fairway Dr Ste 213 Deerfield Beach FL 33441-1809 Ph: (954) 332-9765 | Calm Provider Group,llc 455 Fairway Dr Ste 213 Deerfield Beach FL 33441-1809 Ph: (954) 332-9765 |
| NPI Number | 1588527089 |
|---|---|
| Provider Enumeration Date | 12/03/2025 |
| Last Update Date | 12/22/2025 |
| Certification Date | 12/22/2025 |
| Medicare PECOS PAC ID | 4880171156 |
|---|---|
| Medicare Enrollment ID | O20260119000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588527089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Primary |
| Provider Name | Carole L Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417410655 PECOS PAC ID: 1456767177 Enrollment ID: I20210304000519 |
| Provider Name | Pateshia Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598447609 PECOS PAC ID: 6002317468 Enrollment ID: I20250828002398 |
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