Individual
MR. NICOLAS M COLORADO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 661-6667
Mailing address
507 OAKFIELD DR, BRANDON, FL 33511-5700
(813) 661-6667
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME 58387
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0534625000
—
FL
Enumeration date
10/11/2005
Last updated
07/08/2007
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