Organization
COLORADO HEALTH AND YOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN M COLORADO MD (OWNER)
(813) 849-1258
Entity
Organization
Contact information
Practice address
507 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 849-1258
(813) 661-0031
Mailing address
507 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 849-1258
(813) 661-0031
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME87583
FL
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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