Mcleod, Colleen L
Mcleod, Colleen L is an individual health care provider with primary practice located at 4932 W State Road 46 Ste 1090 , Sanford FL 32771-9244. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcleod, Colleen L can be contacted via phone (407) 635-3355.Contact Information
Primary practice address
4932 W State Road 46 Ste 1090
Sanford FL 32771-9244
Phone: (407) 635-3355
Fax: (407) 636-7879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME110995 | Florida |
Profile Details
| NPI number | 1053562561 |
|---|---|
| LBN Legal business name | Mcleod, Colleen L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2008 |
| Last updated | Jun 12th, 2019 - about 5 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 | 1053562561 | NPPES |
| Florida | MEDICAID | 024706100 |
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