Organization
COLONIAL MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GUTMAN (PRESIDENT)
(407) 427-1855
Entity
Organization
Contact information
Practice address
227 SALVADOR SQ, WINTER PARK, FL 32789-5618
(407) 427-1855
(407) 427-1844
Mailing address
227 SALVADOR SQ, WINTER PARK, FL 32789-5618
(407) 427-1855
(407) 427-1844
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME101147
FL
Other
Enumeration date
02/19/2010
Last updated
01/18/2024
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