Individual
MS. LAURIE COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 OAKWOOD LN STE 100, HOLLYWOOD, FL 33020-1929
(954) 561-9681
Mailing address
601 W MICHIGAN ST, ORLANDO, FL 32805-6203
(407) 317-7430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/27/2013
Last updated
11/17/2017
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