Individual
MR. JOSE MANUEL COLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.BSN
Contact information
Practice address
1060 98TH ST, #23, BAY HARBOR ISLANDS, FL 33154-3816
(786) 285-6801
Mailing address
1060 98TH ST, #23, BAY HARBOR ISLANDS, FL 33154-3816
(786) 285-6801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9286363
FL
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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