Individual
DR. CARLOS H COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4170 TOWN CENTER BLVD, STE. 100, ORLANDO, FL 32837
(407) 857-6166
(407) 857-0122
Mailing address
4170 TOWN CENTER BLVD, STE. 100, ORLANDO, FL 32837-5873
(407) 857-6166
(407) 857-0122
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME63398
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47093
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/05/2007
Last updated
08/21/2018
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