Edwin Colon, Md Pa

NPI 1063721348 - Specialist - 174400000X

NPI Details
NPI 1063721348
Enumeration Date 10/04/2010
Last Updated 10/04/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name TARA TARA
Position BILLING OFFICE
Phone (352) 567-4117
Fax (352) 567-4122
Practice Location
36739 STATE ROAD 52
SUITE 102
DADE CITY FL, 33525-5101, US
Phone (352) 567-4117
Fax (352) 567-4122
Business Location
PO BOX 99
DADE CITY FL, 33526-0099, US
Phone (813) 929-3609
Fax
Toxanomy
Taxonomy Code 174400000X
License State Florida
License Number ME56685
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According to our database, Edwin Colon, Md Pa NPI is 1063721348, taxonomy code is 174400000X and license number is ME56685, license state is located at Florida. Edwin Colon, Md Pa physically located at 36739 State Road 52, Dade City FL, 33525-5101. NPI Number 1033115704 has the healthcare provider type.

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1063721348 NPI number is provided on an as is basis without warranty of any kind. 1063721348 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin Colon, Md Pa are for informational purposes only.