SANTA ROSA DE LIMA MEDICAL PA
Medical Practice at Saxon Blvd, Orange City, FL

License number
Florida ME70874
Category
Medical Practice
Type
Specialist
Owner
Name: SANTIAGO W. CALDERON M.D.
Title: PRESIDENT
Phone: (407) 268-5415
Address
Address 2
1055 Saxon Blvd, Orange City, FL 32763
4916 S. Calderon, Lake Mary, FL 32746
National Provider ID: 1679538664
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Santa Rosa De Lima Medical, PA

Lake Mary, FL  -  Orange City, FL

Status:
Inactive
Registration:
Aug 23, 1996
Addresses:
4916 San Marino Cir, Lake Mary, FL 32746
PO Box 740787, Orange City, FL 32774
State ID:
P96000071089
Business type:
Domestic for Profit Corporation
President:
Santiago W. Calderon President, inactive

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