Joel P Kallan MD PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

ME11721 Issued in FL

Legal business name

JOEL P KALLAN MD PA

Practice address

1763 Coral Way
Coral Gables, FL 33145-2728

Phone

(305) 858-6400

Fax

(305) 858-3233

NPI assigned

Jul 30, 2006

Last updated

Aug 22, 2020By 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

Joel Kallan

Title

Pres

Phone

(305) 858-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447265038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452728",
            "telephone_number": "305-858-6400",
            "fax_number": "305-858-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL P KALLAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KALLAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "305-858-6400"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME11721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1016232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.