Organization
EDWIN COLON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN COLON MD (OWNER)
(727) 834-8833
Entity
Organization
Contact information
Practice address
8819 RIVER CROSSING BLVD, NEW PORT RICHEY, FL 34655-5132
(727) 384-8833
(727) 834-8842
Mailing address
PO BOX 99, DADE CITY, FL 33526-0099
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME966525
FL
208VP0000X
Pain Medicine Physician
Primary
ME56685
FL
363L00000X
Nurse Practitioner
ARNP1363142
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09881
WELLCARE
FL
Enumeration date
10/01/2007
Last updated
02/15/2008
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