Organization
COLON MEDICAL CENTER INC
Active
Other names
COLON MEDICAL CENTER INC
Organization subpart
No
Provider details
NPI number
Authorized official
SERGIO YASMANY GALLOSO PAEZ (OWNER)
(941) 225-5849
Entity
Organization
Contact information
Practice address
12175 SW 132ND CT FL 1, MIAMI, FL 33186-6410
(941) 225-5849
Mailing address
12175 SW 132ND CT FL 1, MIAMI, FL 33186-6410
(941) 225-5849
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/13/2024
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