Organization
EDWIN COLON, MD PA
Active
Other names
Invasive Pain Management Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA DE LA CRUZ (BILLING OFFICE)
(813) 929-3609
Entity
Organization
Contact information
Practice address
36739 STATE ROAD 52, SUITE 102, DADE CITY, FL 33525-5101
(352) 567-4117
(352) 567-4122
Mailing address
PO BOX 99, DADE CITY, FL 33526-0099
(813) 929-3609
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME56685
FL
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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