{"npi":"1154567063","type":"NPI-1","status":"active","name":{"display":"Mikel Calderon PA","other":[],"first":"MIKEL","last":"CALDERON","credential":"PA"},"specialty":{"primary_taxonomy":"363AS0400X","primary_taxonomy_description":"Surgical Physician Assistant","slug":"surgical-physician-assistant","schema_org_specialty":null,"all":[{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":true,"state":"FL","license":"PA9109411"},{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2307 W BROWARD BLVD","city":"FORT LAUDERDALE","state":"FL","postal_code":"333121417","country_code":"US","street_2":"STE 200","phone":"9547921010","fax":"9547921199"},{"purpose":"MAILING","street_1":"2307 W BROWARD BLVD","city":"FORT LAUDERDALE","state":"FL","postal_code":"333121417","country_code":"US","street_2":"STE 200","phone":"9547921010","fax":"9547921199"}],"license":{"state":"FL","number":"PA9109411"},"identifiers":[{"type_code":"01","label":"Other","value":"BO758W","state":"CA","issuer":"PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160706002397","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"4183771595"}]},"enumeration_date":"2008-12-23","last_updated":"2018-03-17","_meta":{"source":"NPPES","snapshot_date":"2018-03-17","doc_url":"https://findmynpi.com/api"}}