Organization
COLONIA MEDICAL SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NESTOR RODRIGUEZ (OWNER)
(239) 745-8207
Entity
Organization
Contact information
Practice address
4531 DELEON ST STE 207, FORT MYERS, FL 33907-1280
(239) 745-8207
Mailing address
4531 DELEON ST STE 207, FORT MYERS, FL 33907-1280
(239) 745-8207
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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