Organization
COLASANTE CLINIC,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ONA MARIE COLASANTE M.D. (MEDICAL DIRECTOR)
(352) 371-3220
Entity
Organization
Contact information
Practice address
810 NW 16TH AVE, GAINESVILLE, FL 32601-4012
(352) 371-3220
(352) 371-3320
Mailing address
810 NW 16TH AVE, GAINESVILLE, FL 32601-4012
(352) 371-3220
(352) 371-3320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
11/04/2010
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