| Doctor Name: | DR. CARLOS J COLON |
| NPI Number: | 1588635551 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 15962 |
| Business Practice Address: | 100 Commercial Dr Keystone Heights, FL - 326566802 |
| Business Phone Number: | 3524736595 |
| Business Fax Number: | 3524736597 |
| Mailing Address: | 4919 Sw 63rd Ln, GAINESVILLE |
| State: | FL |
| Postal Code: | 326085275 |
| Phone Number: | 7872410599 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15962 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |