Healthcare Provider Details

I. General information

NPI: 1871511386
Provider Name (Legal Business Name): RAMON E COLINA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 CATTLEMEN RD SUITE 202
SARASOTA FL
34232-6056
US

IV. Provider business mailing address

3333 CATTLEMEN RD SUITE 202
SARASOTA FL
34232-6056
US

V. Phone/Fax

Practice location:
  • Phone: 941-342-8892
  • Fax: 941-342-8893
Mailing address:
  • Phone: 941-342-8892
  • Fax: 941-342-8893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME77522
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: