Colaluce, Marc Gregory

Colaluce, Marc Gregory is an sole proprietor health care provider with primary practice located at 5760 10Th Ave N , St Petersburg FL 33710-6432. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Colaluce, Marc Gregory can be contacted via phone (727) 384-1111.

Contact Information

Primary practice address
5760 10Th Ave N St Petersburg FL 33710-6432
Fax: (727) 384-1112
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2815 Florida

Profile Details

NPI number 1174734735
LBN Legal business name Colaluce, Marc Gregory
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Feb 18th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174734735 NPPES
Florida Other 11010101 CITRUSCAID
Florida Other 21212024000 CITRUSCAID
Florida Other 2700633 CITRUSCAID
Florida Other 1734395 CITRUSCAID
Florida Other 65644 CITRUSCAID
Florida Other 11187 CITRUSCAID
Florida Other 163508 CITRUSCAID
Florida Other 59368468133733A01 CITRUSCAID
Florida Other 649524 CITRUSCAID

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