Individual
DR. JOSE ENRIQUE COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4683 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 968-7171
(813) 968-7282
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4828
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME35357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065609700
—
FL
Enumeration date
05/27/2005
Last updated
03/17/2015
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