Individual
COLLEEN REBEKAH MAIER MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5 TAMPA GENERAL CIR # 750, TAMPA, FL 33606-3601
(813) 974-2201
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
OS16042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103417400
—
FL
01
—
LK887
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/03/2015
Last updated
03/31/2021
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