NPI 1255640603

Edwin Colon, MD PA

Organisation Specialist Wesley Chapel, FL

Practice location

Address: 2407 Cypress Ridge Blvd, Wesley Chapel, FL 33544-6312
Phone: (813) 907-3300
Fax: (813) 907-3111
Mailing address: PO Box 99, Dade City, FL 33526-0099

Authorised official

Name: Tara de La Cruz
Title: Billing/Credentialing
Phone: (813) 929-3609

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence ME56685 (FL)

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Registry record

NPI: 1255640603
Entity type: Organization
NPI issued: 4 Oct 2010
Record last updated: 4 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.