Individual
COLLEEN O'KENNEDY SELETOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2044 TRINITY OAKS BLVD STE 220, TRINITY, FL 34655-4406
(727) 645-6900
(727) 372-8989
Mailing address
2044 TRINITY OAKS BLVD, STE 220, TRINITY, FL 34655-4406
(727) 645-6900
(727) 372-8989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9111933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9111933
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
01/14/2019
Last updated
10/15/2021
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