Individual
JULYSSA COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7380
Mailing address
3300 BERWICK LN, LAKELAND, FL 33810-2849
(787) 975-6400
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9458580
FL
Other
Enumeration date
08/14/2017
Last updated
10/09/2017
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