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General NPI Number Information
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NPI Number | 1063415727
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Entity Type | Individual
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Provider Name | ANGEL LUIS ANTONIO COLON-MOLERO MD, MBA
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 5822 S SEMORAN BLVD BLDG A
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City | ORLANDO
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State | FL
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Zip | 32822-4812
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Country | US
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Telephone | 305-575-3419
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Fax |
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Provider Business Mailing Address
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Address Line | 11852 BATELLO LN
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City | ORLANDO
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State | FL
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Zip | 32827-7100
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Country | US
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Telephone | 305-968-0811
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD489579
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 10725
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME168899
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License Number State | FL
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