| Jose A.d. Callueng Md Pa | |
|
8468 W. Periwinkle Lane Suite C Homosassa FL 34446-1147 | |
| (352) 628-7270 | |
| (352) 628-1620 |
| Full Name | Jose A.d. Callueng Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 8468 W. Periwinkle Lane, Homosassa, Florida |
| Authorized Official Name and Position | Jose A.d. Callueng (PRESIDENT) |
| Authorized Official Contact | 3526287270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose A.d. Callueng Md Pa 8468 W. Periwinkle Lane Suite C Homosassa FL 34446-1147 Ph: (352) 628-7270 | Jose A.d. Callueng Md Pa 8468 W. Periwinkle Lane Suite C Homosassa FL 34446-1147 Ph: (352) 628-7270 |
| NPI Number | 1093033623 |
|---|---|
| Provider Enumeration Date | 05/06/2010 |
| Last Update Date | 05/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093033623 | NPI | - | NPPES |
| 037510100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 27910 (Florida) | Primary |
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