Healthcare Provider Details

I. General information

NPI: 1285629568
Provider Name (Legal Business Name): J DEAN COLE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 COLUMBIA ST STE 400
ORLANDO FL
32806-1115
US

IV. Provider business mailing address

60 COLUMBIA ST STE 400
ORLANDO FL
32806-1115
US

V. Phone/Fax

Practice location:
  • Phone: 321-843-5851
  • Fax: 321-843-7381
Mailing address:
  • Phone: 321-843-5851
  • Fax: 321-843-7381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME40311
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberME0040311
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: