Colombo, John M

Colombo, John M is an individual health care provider with primary practice located at 2990 Executive Way , Miramar FL 33025-6543. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Colombo, John M can be contacted via phone (954) 276-6245.

Contact Information

Primary practice address
2990 Executive Way Miramar FL 33025-6543
Phone: (954) 276-6245
Fax: (954) 286-1457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD024973E Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD024973E Pennsylvania

Profile Details

NPI number 1871654913
LBN Legal business name Colombo, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Apr 1st, 2021 - about 3 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 1871654913 NPPES
Pennsylvania MEDICAID 001619073

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