Santiago W Calderon Md Pa | |
60 Memorial Medical Pkwy Palm Coast FL 32164-5980 | |
(706) 529-8953 | |
(706) 410-2421 |
Full Name | Santiago W Calderon Md Pa |
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Speciality | Internal Medicine |
Location | 60 Memorial Medical Pkwy, Palm Coast, Florida |
Authorized Official Name and Position | Santiago W Calderon (PRESIDENT) |
Authorized Official Contact | 7065298953 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Santiago W Calderon Md Pa 4916 San Marino Cir Lake Mary FL 32746-2608 Ph: (706) 529-8953 | Santiago W Calderon Md Pa 60 Memorial Medical Pkwy Palm Coast FL 32164-5980 Ph: (706) 529-8953 |
NPI Number | 1871745976 |
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Provider Enumeration Date | 10/21/2008 |
Last Update Date | 07/28/2025 |
Medicare PECOS PAC ID | 9638235153 |
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Medicare Enrollment ID | O20090309000556 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871745976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | ME70874 (Florida) | Primary |
Provider Name | Santiago W Calderon |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1790755759 PECOS PAC ID: 4486548229 Enrollment ID: I20090124000085 |
Provider Name | Laurette Que Cornel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942691373 PECOS PAC ID: 4789900598 Enrollment ID: I20150312002380 |
Md Transformations Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Cypress Point Pkwy Ste B1, Palm Coast, FL 32164 Phone: 386-283-5668 Fax: 386-283-5670 | |
S S Marathe Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4869 Palm Coast Pkwy Nw, Suite 2, Palm Coast, FL 32137 Phone: 386-445-2003 | |
Coastal Family Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Hospital Dr, Suite 280, Palm Coast, FL 32164 Phone: 386-437-4711 | |
Coastal Healthcare Partners, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Leanni Way, Suite D1, Palm Coast, FL 32137 Phone: 386-283-5997 Fax: 386-283-5652 | |
Pb Healthcare Svcs, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Cypress Point Pkwy, Suite A3, Palm Coast, FL 32164 Phone: 386-445-0977 Fax: 386-445-0579 | |
Solution 1 Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Utility Dr Ste 2f, Palm Coast, FL 32137 Phone: 386-359-7838 | |
Imagine School Town Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 775 Town Center Blvd, Palm Coast, FL 32164 Phone: 386-586-0100 Fax: 386-586-2784 |