Jose a.D. Callueng MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 27910 Issued in FL

Legal business name

JOSE A.D. CALLUENG MD PA

Practice address

8468 W. Periwinkle Lane
Suite C
Homosassa, FL 34446-1147

Phone

(352) 628-7270

Fax

(352) 628-1620

NPI assigned

May 6, 2010

Last updated

May 6, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jose A.D. Callueng, M.D.

Title

President

Phone

(352) 628-7270

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1093033623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8468 W. PERIWINKLE LANE",
            "address_2": "SUITE C",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344461147",
            "telephone_number": "352-628-7270",
            "fax_number": "352-628-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8468 W. PERIWINKLE LANE",
            "address_2": "SUITE C",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344461147",
            "telephone_number": "352-628-7270",
            "fax_number": "352-628-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE A.D. CALLUENG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "CALLUENG",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A.D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-628-7270",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 27910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037510100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dahlia Jimenez, COTA
• Dierra Johnson, COTA
• Heather Marie Johnson, APRN PMHNP-BC
• Jessica Johnson, COTA
• Richard Johnston, PTA
• Kimberly Linette Joyce
• Catherine Tan Joyo, APRN
• Margaret Kaflinski, PHARMD
• Aristidis Kantaras, PTA
• Jacquie Kazmierczak

• Internal Medicine Physician in Homosassa, FL
• Providers in Homosassa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.