Provider Demographics
NPI:1851331201
Name:CALHOUN & DONNELLY PA
Entity type:Organization
Organization Name:CALHOUN & DONNELLY PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SPECIALE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-629-4509
Mailing Address - Street 1:1015 SE 17TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-3943
Mailing Address - Country:US
Mailing Address - Phone:352-629-4509
Mailing Address - Fax:352-629-5005
Practice Address - Street 1:1015 SE 17TH ST STE 300
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-3943
Practice Address - Country:US
Practice Address - Phone:352-629-4509
Practice Address - Fax:352-629-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
R53OtherBCBS
1251860001Medicare NSC
R53OtherBCBS