Healthcare Provider Details

I. General information

NPI: 1497403851
Provider Name (Legal Business Name): COLTON BIEHL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UF SHANDS 1600 SW ARCHER RD.
GAINESVILLE FL
32608
US

IV. Provider business mailing address

UF SHANDS 1600 SW ARCHER RD.
GAINESVILLE FL
32608
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number0102208304
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: