Individual
CARLOS COLOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3319 S STATE ROAD 7 STE 102, WELLINGTON, FL 33449-8099
(561) 333-4000
(561) 333-8851
Mailing address
367 S. GULPH RD, ATTN: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(561) 333-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9371022
FL
Other
Enumeration date
02/10/2014
Last updated
02/14/2019
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