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MIKEL CALDERON PA
NPI 1154567063
Physician Assistant - Surgical in Fort Lauderdale, FL

Active since December 23, 2008PECOS Enrolled
2307 W BROWARD BLVD, STE 200, FORT LAUDERDALE, FL 33312(954) 792-1010(954) 792-1199 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Dec 7, 2017, Mar 28, 2016 (3 updates tracked since 2016).

About Mikel Calderon Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKEL CALDERON PA (NPI 1154567063) is an individual surgical provider in Fort Lauderdale, Florida, licensed in Florida (PA9109411) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Worth.

NPPES Registry Identity

NPI1154567063
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMIKEL CALDERONCredential: PA
Location Address2307 W BROWARD BLVD, STE 200Fort Lauderdale, FL 33312-1417
Mailing Address2307 W Broward Blvd, Ste 200Fort Lauderdale, FL 33312-1417 · (954) 792-1010 · Fax (954) 792-1199
Phone(954) 792-1010
Fax(954) 792-1199
Sole ProprietorNo
Enumeration DateDecember 23, 2008
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
✔ NPI 1154567063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA9109411
Also ListedPhysician AssistantTaxonomy 363A00000X
2307 W BROWARD BLVD, Fort Lauderdale, FL 33312
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Secondary Practice Location 1

Location 11926 10th Ave N Ste 105Lake Worth, FL 33461-3300 · Phone (615) 345-5400 · Fax (888) 468-6511

Other Identifiers 1

OtherBO758WCA · Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikel Calderon Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TFPS IV, L.L.C.
Orthopaedic Surgery
2307 W BROWARD BLVD, STE 200
FT LAUDERDALE, FL 33312
Broward County (954) 792-1010
HOLLY L. GAINES MD
Internal Medicine (Cardiovascular Disease)
2307 W BROWARD BLVD
FORT LAUDERDALE, FL 33312
Broward County (954) 751-5400
WILLIAM VINCENT BURKE MD
Orthopaedic Surgery
2307 W BROWARD BLVD, STE 200
FORT LAUDERDALE, FL 33312
Broward County (954) 792-1010
KELLIE LYNN DOMINESSY PA-C, MMS, ATC
Physician Assistant (Surgical)
2307 W BROWARD BLVD, STE 200
FORT LAUDERDALE, FL 33312
Broward County (954) 792-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mikel Calderon's NPI number?

The NPI number for Mikel Calderon is 1154567063. It was assigned to this individual provider in the NPPES registry on December 23, 2008.

Where is Mikel Calderon located?

Mikel Calderon practices at 2307 W Broward Blvd Ste 200, Fort Lauderdale, FL 33312. The listed phone number is (954) 792-1010.

What is Mikel Calderon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mikel Calderon enrolled in Medicare?

Yes. Mikel Calderon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mikel Calderon was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.