Doctor Name: | MR. RUBEN DARIO COLL |
NPI Number: | 1952688160 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | ARNP9277696 |
Business Practice Address: | 7962 Nw 113th Pl Medley, FL - 331782537 |
Business Phone Number: | 7865863160 |
Business Fax Number: | |
Mailing Address: | 7962 Nw 113th Pl, MEDLEY |
State: | FL |
Postal Code: | 331782537 |
Phone Number: | 7865863160 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP9277696 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |