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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316935612 | NPPES |
| Florida | MEDICAID | 066936900 |
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