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NPI Code Detail

MEDICARE: MS. MELVA COLON L.C.S.W

MEDICARE: MS. MELVA COLON L.C.S.W
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
11041C0700XClinical Social WorkerSW2837FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120-8595656OTHERFLTAX ID

General Provider Information

NPI Number : 1609070937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELVA COLON L.C.S.W
Provider Business Mailing Address
First Line : 419 W 49TH ST STE 218
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3657
Country : US
Telephone Number : 305-613-2773
Fax Number : 305-231-8827
Provider Business Practice Location Address
First Line : 419 W 49TH ST STE 218
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3657
Country : US
Telephone Number : 305-613-2773
Fax Number : 305-231-8827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 05/23/2025

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