Healthcare Provider Details

I. General information

NPI: 1306657713
Provider Name (Legal Business Name): JEFFREY COLAS MSN, APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 MORRISON RD
BRANDON FL
33511-4849
US

IV. Provider business mailing address

33479 HAMILTON HILL LN
WESLEY CHAPEL FL
33545-5372
US

V. Phone/Fax

Practice location:
  • Phone: 813-681-6474
  • Fax:
Mailing address:
  • Phone: 407-432-6220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11034061
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11034061
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11034061
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: