| Doctor Name: | DR. CARLOS H COLOMBO |
| NPI Number: | 1114074515 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME63398 |
| Business Practice Address: | 4170 Town Center Blvd Ste. 100 Orlando, FL - 328375873 |
| Business Phone Number: | 4078576166 |
| Business Fax Number: | 4078570122 |
| Mailing Address: | 4170 Town Center Blvd, Ste. 100 ORLANDO |
| State: | FL |
| Postal Code: | 328375873 |
| Phone Number: | 4078576166 |
| Fax Number: | 4078570122 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 04/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME63398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |