Individual
CRAIG N COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2850 WELLNESS AVE, ORANGE CITY, FL 32763-8395
(386) 574-0700
(386) 574-1139
Mailing address
2850 WELLNESS AVE, ORANGE CITY, FL 32763-8395
(386) 574-0700
(386) 574-1139
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
259340
NY
207W00000X
Ophthalmology Physician
Primary
ME123332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03282895
—
NY
01
—
256340
STATE LICENSE
NY
01
—
ME123332
STATE LICENSE
FL
Enumeration date
06/17/2006
Last updated
03/07/2023
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