Colella, Jay P

Colella, Jay P is an individual health care provider with primary practice located at 3725 11Th Cr , Vero Beach FL 32960-4804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Colella, Jay P can be contacted via phone (772) 562-0163.

Contact Information

Primary practice address
3725 11Th Cr Vero Beach FL 32960-4804
Phone: (772) 562-0163
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME54269 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME54269 Florida

Profile Details

NPI number 1255337101
LBN Legal business name Colella, Jay P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Sep 6th, 2012 - about 12 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 1255337101 NPPES
Florida MEDICAID 55797800
Florida Other 08619

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