Organization
CENTER FOR COLON AND RECTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADINE L. FLOYD MD (CHIEF OPERATING OFFICER)
(260) 672-1719
Entity
Organization
Contact information
Practice address
12012 WOOD GLEN DR, FORT WAYNE, IN 46814-4515
(260) 672-1719
Mailing address
12012 WOOD GLEN DR, FORT WAYNE, IN 46814-4515
(260) 672-1719
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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