MEDICARE: NELSON COLON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	ME130153	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326234790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NELSON COLON MD

Provider Business Mailing Address
First Line	:	603 MELALEUCA DR
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-4590
Country	:	US
Telephone Number	:	954-543-1331
Fax Number	:

Provider Business Practice Location Address
First Line	:	603 MELALEUCA DR APT 1112
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-4590
Country	:	US
Telephone Number	:	954-543-1331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	04/02/2026

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