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Individual

LIBERTO COLOMBO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
OS7279
FL
2083X0100X
Occupational Medicine Physician
Primary
OS7279
FL
208D00000X
General Practice Physician
OS7279
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
57445
BSFL
FL
01
59168672
BSAL
FL
Enumeration date
12/13/2005
Last updated
11/17/2022
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