Individual
DR. CONRAD R COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3026
(352) 273-9350
(352) 273-9055
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 273-9350
(352) 273-9055
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
052907
GA
2080P0206X
Pediatric Gastroenterology Physician
35-078856
OH
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME167918
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363382413A
—
GA
Enumeration date
06/10/2006
Last updated
07/02/2024
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