Edwin Colon, MD PA

NPI #1063721348 in Dade City, Florida

Provider Information

NPI Number: 1063721348
Entity Type: Organization
Organization Name: Edwin Colon, MD PA
Primary Specialty: Specialist
Enumeration Date: Oct 4, 2010
Last Updated: Oct 4, 2010

Practice Location

Address: 36739 STATE ROAD 52
Address 2: SUITE 102
City: Dade City
State: Florida
ZIP Code: 33525-5101
Phone: (352) 567-4117

Authorized Official

Name: MRS. TARA DE LA CRUZ
Title: BILLING OFFICE
Phone: (813) 929-3609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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