Individual
MS. KAITLIN THERESA COLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5151 WINTER GARDEN VINELAND RD STE 107, WINDERMERE, FL 34786-6098
(321) 842-9000
(321) 843-6326
Mailing address
5151 WINTER GARDEN VINELAND RD STE 107, WINDERMERE, FL 34786-6098
(321) 842-9000
(321) 843-6326
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
9107532
FL
363AM0700X
Medical Physician Assistant
Primary
PA9107532
FL
Other
Enumeration date
01/02/2014
Last updated
11/29/2021
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