Individual
MRS. MARIAN COLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5117 CASTELLO DR STE 2, NAPLES, FL 34103-1925
(239) 218-2310
Mailing address
18313 USEPPA ROAD, FORT MYERS, FL 33967-5436
(239) 218-2310
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA35406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C9444
BSBCFL
FL
Enumeration date
06/11/2008
Last updated
06/11/2008
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