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1083920383
INGRID KISHA NIDRA CALLISTE
TAVARES, FL
NPI
1083920383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: FL ME135623)
Enumeration Date
2010-08-24
Last Update Date
2021-05-14
Business Address
Dr. INGRID KISHA NIDRA CALLISTE M.D
1865 NIGHTINGALE LN STE A
TAVARES, FL 32778-4360
Phone number: 352-385-5800
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Mailing Address
Dr. INGRID KISHA NIDRA CALLISTE M.D
13900 CR 455, SUITE 107, #373
CLERMONT, FL 34711-9029
Phone number: 352-385-7718
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