Colonial Management Group
NPI #1831686765 in Pinellas Park, Florida
Provider Information
- NPI Number
- 1831686765
- Entity Type
- Organization
- Organization Name
- Colonial Management Group
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- Apr 17, 2018
- Last Updated
- Apr 17, 2018
Practice Location
- Address
- 8800 49TH ST N STE 106
- City
- Pinellas Park
- State
- Florida
- ZIP Code
- 33782-5332
- Phone
- (727) 544-0044
Authorized Official
- Name
- CARLOS NELSON, MASTERS
- Title
- PROGRAM DIRECTOR
- Phone
- (727) 544-0044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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