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Individual

MS. JANET L. COLLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 752-1200
Mailing address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 752-1200

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
26741
AL
208800000X
Urology Physician
36064
SC
208800000X
Urology Physician
48050
TN
208800000X
Urology Physician
C1-0025434
DE
208800000X
Urology Physician
Primary
ME80177
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009932127
AL
05
009932128
AL
01
02254886
MISSISSIPPI MEDICAID
MS
01
051529989
BLUE CROSS
AL
01
051529990
BLUE CROSS
AL
05
110230700
FL
01
14TX2
BCBS OF FL
FL
01
1881344
CIGNA
FL
05
360647
SC
01
372641
AVMED
FL
01
H20734
VIVA
AL
01
P01300698
RAILROAD MCR
FL
Enumeration date
06/13/2006
Last updated
03/31/2025
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