Individual
JOSE COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22655 BAYSHORE RD STE 110, PORT CHARLOTTE, FL 33980-2005
(941) 235-4900
(941) 235-4901
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-0762
(239) 343-0958
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
ME101315
FL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
ME101315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000127200
—
FL
Enumeration date
01/04/2007
Last updated
06/27/2024
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