Richard Lee Colonel

NPI #1033589429 in Hawthorne, Florida

Provider Information

NPI Number: 1033589429
Entity Type: Individual
Name: Richard Lee Colonel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Sep 29, 2015
Last Updated: Sep 29, 2015

Practice Location

Address: 143 MELROSE LANDING DR
City: Hawthorne
State: Florida
ZIP Code: 32640-4417
Phone: (352) 642-5085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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