Individual
DERECK EMANUEL COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(787) 539-1489
Mailing address
3890 SW 64TH AVE APT 443, DAVIE, FL 33314-2590
(787) 539-1489
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI46057
FL
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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