Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO3807 | FL |
NPI | 1043653041 |
---|---|
Provider Name | Richard D. Calhoun |
First Address | Fort Myers, FL 33919-6120 |
Second Address | Fort Myers, FL 33919-6120 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 02/06/2016 |