Individual
BANKS COLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
12250 91ST AVE, SEMINOLE, FL 33772-3220
(813) 765-0263
Mailing address
12250 91ST AVE, SEMINOLE, FL 33772-3220
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN9425798
FL
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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