Individual
COLLEEN SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RDN
Contact information
Practice address
1015 N STATE ROAD 7 STE D, ROYAL PALM BEACH, FL 33411-5185
(561) 798-9417
(561) 798-9419
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(561) 798-9417
(561) 798-9419
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9110747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024400600
—
FL
Enumeration date
04/15/2014
Last updated
09/02/2020
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