Organization
EDWIN COLON, MD PA
Active
Other names
Invasive Pain Management Clini
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA DE LA CRUZ (BILLING/CREDENTIALING)
(813) 929-3609
Entity
Organization
Contact information
Practice address
2407 CYPRESS RIDGE BLVD, WESLEY CHAPEL, FL 33544-6312
(813) 907-3300
(813) 907-3111
Mailing address
PO BOX 99, DADE CITY, FL 33526-0099
(813) 929-3609
(813) 907-3111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME56685
FL
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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