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Organization
COLON MEDICAL CENTER INC
Active
Organization
COLON MEDICAL CENTER INC
Active
Other names
COLON MEDICAL CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO YASMANY GALLOSO PAEZ (OWNER)
(941) 225-5849
Entity
Organization
Contact information
Practice address
12175 SW 132ND CT FL 1, MIAMI, FL 33186-6410
(941) 225-5849
Mailing address
12175 SW 132ND CT FL 1, MIAMI, FL 33186-6410
(941) 225-5849
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/13/2024
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