Colon, Jose Enrique
Colon, Jose Enrique is an individual health care provider with primary practice located at 4683 Van Dyke Rd , Lutz FL 33558-4880. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Colon, Jose Enrique can be contacted via phone (813) 968-7171.Contact Information
Primary practice address
4683 Van Dyke Rd
Lutz FL 33558-4880
Phone: (813) 968-7171
Fax: (813) 968-7282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME35357 | Florida |
Profile Details
| NPI number | 1730182312 |
|---|---|
| LBN Legal business name | Colon, Jose Enrique |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Mar 17th, 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 | 1730182312 | NPPES |
| Florida | MEDICAID | 065609700 |
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