COLONIAL MEDICAL PRACTICE NPI 1518289487

NPI Information

NPI: 1518289487
Provider Name: COLONIAL MEDICAL PRACTICE
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
301 N FERNCREEK AVE
ORLANDO, FL
ZIP 32803
Phone: (407) 427-1855
Get Directions

COLONIAL MEDICAL PRACTICE is a child and adolescent psychiatry psychiatry neurology in Orlando, FL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. COLONIAL MEDICAL PRACTICE NPI is 1518289487. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 N FERNCREEK AVE
ORLANDO, FL
ZIP 32803-400
Phone: (407) 427-1855
Fax: (407) 427-1844

The provider's authorized official is Robert Gutman .
The authorized official title is President and has the following contact phone number (407) 427-1855.

The enumeration date for this NPI number is 2/19/2010 and was last updated on 8/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH1524	FLORIDA	No
2	207LP2900X	Anesthesiology	Pain Medicine	ME 100169	FLORIDA	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	ME101147	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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