Provider Demographics
NPI:1982097846
Name:CALDERON, LINDA (PA-C)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:CALDERON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2400 NORTH ORANGE BLOSSOM TRAIL SUITE 210
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744
Mailing Address - Country:US
Mailing Address - Phone:407-933-2500
Mailing Address - Fax:407-933-2502
Practice Address - Street 1:353 EAST 68TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-639-5494
Practice Address - Fax:929-321-7278
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2025-01-02
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical