Individual
MR. ANTONIO COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
708 PEAR L CIRCLE, BRANDON, FL 33510
(813) 481-8051
Mailing address
8734 ORANGE LEAF CT, TEMPLE TERRACE, FL 33637
(813) 443-6917
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
02/14/2007
Last updated
01/23/2012
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