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Individual

MARC GREGORY COLALUCE

Active
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Individual

MARC GREGORY COLALUCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2815
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11010101
CITRUSCAID
FL
01
11187
AMERIGROUP
FL
01
163508
STAYWELL
FL
01
1734395
FIRST HEALTH
FL
01
21212024000
BEECHSTREET
FL
01
2700633
UNITED
FL
01
59368468133733A01
TRICARE STANDARD PPO
FL
01
649524
TUFTS
FL
01
65644
BCBS
FL
Enumeration date
05/25/2007
Last updated
02/18/2008
About Stedi
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