Cole, Conrad R

Cole, Conrad R is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Cole, Conrad R can be contacted via phone (352) 273-9350.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3026
Phone: (352) 273-9350
Fax: (352) 273-9055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 052907 Georgia
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 35-078856 Ohio
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X ME167918 Florida

Profile Details

NPI number 1700828464
LBN Legal business name Cole, Conrad R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 2nd, 2024 - about last year

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 1700828464 NPPES
Georgia MEDICAID 363382413A

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