Provider Demographics
NPI:1427486661
Name:CALERO, AUDREY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:AUDREY
Middle Name:
Last Name:CALERO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:AUDREY
Other - Middle Name:
Other - Last Name:CALERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4510 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3516
Mailing Address - Country:US
Mailing Address - Phone:954-893-8900
Mailing Address - Fax:
Practice Address - Street 1:4510 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3516
Practice Address - Country:US
Practice Address - Phone:954-893-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-25
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017020363A00000X
CAPA66292363A00000X
FLPA9109914363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant