Provider Demographics
NPI:1104622398
Name:KALAF, JOHN WALTER JR (PMD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:WALTER
Last Name:KALAF
Suffix:JR
Gender:
Credentials:PMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 SE DEPOT AVE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-7085
Mailing Address - Country:US
Mailing Address - Phone:352-215-3304
Mailing Address - Fax:
Practice Address - Street 1:606 SE DEPOT AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-7085
Practice Address - Country:US
Practice Address - Phone:352-215-3304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL525590146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic