Individual
COLIN S BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15285 AMBERLY DR, TAMPA, FL 33647
(813) 979-6978
(813) 975-0534
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0062126
FL
Other
Enumeration date
05/17/2006
Last updated
08/30/2021
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