Colon, Nicole

Colon, Nicole is an individual health care provider with primary practice located at 11600 Lakeside Village Ln , Windermere FL 34786-7024. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Colon, Nicole can be contacted via phone (407) 876-2273.

Contact Information

Primary practice address
11600 Lakeside Village Ln Windermere FL 34786-7024
Phone: (407) 876-2273
Fax: (407) 347-3950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9253662 Florida

Profile Details

NPI number 1679904627
LBN Legal business name Colon, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2013
Last updated Oct 28th, 2020 - about 4 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 1679904627 NPPES
Florida MEDICAID PENDING
Florida Other M6791

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