Individual
ENNIO M COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7800 SW 87TH AVE, C 350, MIAMI, FL 33173-2539
(305) 271-4711
(305) 271-8732
Mailing address
7800 SW 87TH AVE, SUITE C-350, MIAMI, FL 33173-2539
(954) 731-9676
(954) 731-9747
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME55842
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374490600
—
FL
Enumeration date
10/12/2005
Last updated
10/19/2015
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