| Doctor Name: | JOSHUA O COLEBROOKE |
| NPI Number: | 1053748129 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SA-C |
| License Number: | 13-164 |
| Business Practice Address: | 15201 Ne 11th Ct North Miami Beach, FL - 33162 |
| Business Phone Number: | 3059744832 |
| Business Fax Number: | |
| Mailing Address: | 15201 Ne 11th Ct, NORTH MIAMI BEACH |
| State: | FL |
| Postal Code: | 331625819 |
| Phone Number: | 3059744832 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2013 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 13-164 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |