Provider Demographics
NPI:1366793580
Name:FINLEY, CALVIN RICHARD (PA)
Entity type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:RICHARD
Last Name:FINLEY
Suffix:
Gender:M
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:3200 S UNIVERSITY DR
Mailing Address - Street 2:PHYSICIAN ASSISTANT DEPARTMENT
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2018
Mailing Address - Country:US
Mailing Address - Phone:954-262-1288
Mailing Address - Fax:954-262-2285
Practice Address - Street 1:3200 S UNIVERSITY DR
Practice Address - Street 2:PHYSICIAN ASSISTANT DEPARTMENT
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2018
Practice Address - Country:US
Practice Address - Phone:954-262-1288
Practice Address - Fax:954-262-2285
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA 2874363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant