| Lita R. Calagua Md Pa | |
|
10650 W State Road 84 Ste 211 Davie FL 33324-4235 | |
| (954) 476-8126 | |
| (954) 449-8940 |
| Full Name | Lita R. Calagua Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10650 W State Road 84 Ste 211, Davie, Florida |
| Authorized Official Name and Position | Lita R Calagua (OWNER) |
| Authorized Official Contact | 9544768126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lita R. Calagua Md Pa 10650 W State Road 84 Ste 211 Davie FL 33324-4235 Ph: (954) 476-8126 | Lita R. Calagua Md Pa 10650 W State Road 84 Ste 211 Davie FL 33324-4235 Ph: (954) 476-8126 |
| NPI Number | 1922277375 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 10/09/2017 |
| Medicare PECOS PAC ID | 0840365797 |
|---|---|
| Medicare Enrollment ID | O20080812000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922277375 | NPI | - | NPPES |
| 263966100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME78150 (Florida) | Primary |
| Provider Name | Lita Rosa Calagua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932272010 PECOS PAC ID: 7416022355 Enrollment ID: I20080812000695 |
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