Organization
ALL FLORIDA PODIATRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC G. COLALUCE DPM (OWNER PODIATRIST)
(727) 384-1111
Entity
Organization
Contact information
Practice address
5760 10TH AVE N, ST PETERSBURG, FL 33710-6432
(727) 384-1111
(727) 384-1112
Mailing address
PO BOX 13165, ST PETERSBURG, FL 33733-3165
(727) 384-1111
(727) 384-1112
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 2815
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11010101
CITRUS CAID
FL
01
—
111877
AMERIGROUP
FL
01
—
163508
STAYWELL
FL
01
—
1734395
FIRST HEALTH
FL
01
—
21212024000
BEECHSTREET
FL
01
—
2700633
UNITED HEALTHCARE
FL
01
—
649524
TUFTS
FL
01
—
65644
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/17/2007
Last updated
04/20/2008
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