Colalillo, Maryanne
Colalillo, Maryanne is an individual health care provider with primary practice located at 4030 W Boy Scout Blvd Ste 800 , Tampa FL 33607-5713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Colalillo, Maryanne can be contacted via phone (813) 286-0033.Contact Information
Primary practice address
4030 W Boy Scout Blvd Ste 800
Tampa FL 33607-5713
Phone: (813) 286-0033
Fax: (813) 282-1806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME 122943 | Florida |
Profile Details
| NPI number | 1902866593 |
|---|---|
| LBN Legal business name | Colalillo, Maryanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jun 23rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902866593 | NPPES |
| Florida | MEDICAID | 014984500 | |
| Florida | Other | IE832Z |
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