# HEALOGICS SPECIALTY PHYSICIANS OF COLORADO-PROFESSIONAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215662721
- **Authorized official:** FRANK WILLIAMS (CEO)
- **Authorized official phone:** (904) 446-3519

## Contact information

- **Practice address:** 1600 PRAIRIE CENTER PKWY STE 140, BRIGHTON, CO 80601-4006
- **Practice address phone:** (303) 498-3030
- **Mailing address:** 5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
- **Mailing address phone:** (904) 446-3686
- **Mailing address fax:** (904) 446-3032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | NULL | Yes |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2022
- **Last updated:** 06/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9000152330 | — | CO |