Colorado, Nicolas M

Colorado, Nicolas M is an individual health care provider with primary practice located at 507 Oakfield Dr , Brandon FL 33511-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Colorado, Nicolas M can be contacted via phone (813) 661-6667.

Contact Information

Primary practice address
507 Oakfield Dr Brandon FL 33511-5700
Phone: (813) 661-6667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 58387 Florida

Profile Details

NPI number 1720076086
LBN Legal business name Colorado, Nicolas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 8th, 2007 - about 17 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 1720076086 NPPES
Florida MEDICAID 0534625000

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