CALDERON MEDICINE LLC NPI 1376440891

NPI Information

  • NPI: 1376440891
  • Provider Name: CALDERON MEDICINE, LLC
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Organization
  • :
  • Address: 574 SW INDIAN KEY DR
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Phone: (772) 202-2117

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NPI Details

CALDERON MEDICINE, LLC is a physician assistant in Port Saint Lucie, FL. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. CALDERON MEDICINE, LLC NPI is 1376440891. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

574 SW INDIAN KEY DR
PORT SAINT LUCIE, FL
ZIP 34986-051
Phone: (772) 202-2117
Fax: (772) 742-5527

The provider's authorized official is Alston Bryan Calderon .
The authorized official title is Psychiatric Pa-c, Founder & Ceo and has the following contact phone number (772) 202-2117.

The enumeration date for this NPI number is 10/20/2026 and was last updated on 10/20/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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