Individual
DR. JOHN EDWIN COLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10855 SOUTH FEDERAL HIGHWAY, PORT ST. LUCIE, FL 34952
(772) 337-4476
(772) 335-9258
Mailing address
10855 SOUTH FEDERAL HIGHWAY, PORT ST. LUCIE, FL 34952
(772) 337-4476
(772) 335-9258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FLOPC002229
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007231300
—
FL
Enumeration date
05/01/2007
Last updated
05/09/2013
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