Colletta, Joseph Anthony

Colletta, Joseph Anthony is an individual health care provider with primary practice located at 690 Meadows Road , Boca Raton FL 33486. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Colletta, Joseph Anthony can be contacted via phone (561) 955-2131.

Contact Information

Primary practice address
690 Meadows Road Boca Raton FL 33486
Phone: (561) 955-2131
Fax: (561) 955-3755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME33516 Florida

Profile Details

NPI number 1316935612
LBN Legal business name Colletta, Joseph Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Nov 20th, 2015 - about 9 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 1316935612 NPPES
Florida MEDICAID 066936900

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