Healthcare Provider Details

I. General information

NPI: 1427021732
Provider Name (Legal Business Name): MARC D. COLTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 8TH ST N
NAPLES FL
34102-5519
US

IV. Provider business mailing address

311 9TH ST N STE 200
NAPLES FL
34102-5887
US

V. Phone/Fax

Practice location:
  • Phone: 239-226-2727
  • Fax: 239-939-9876
Mailing address:
  • Phone: 239-624-1160
  • Fax: 392-624-1161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number25MA06214800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME131772
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: