| Colonial Medical Practice | |
|
227 Salvador Sq Winter Park FL 32789-5618 | |
| (407) 427-1855 | |
| (407) 427-1844 |
| Full Name | Colonial Medical Practice |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 227 Salvador Sq, Winter Park, Florida |
| Authorized Official Name and Position | Robert Gutman (PRESIDENT) |
| Authorized Official Contact | 4074271855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Medical Practice 227 Salvador Sq Winter Park FL 32789-5618 Ph: (407) 427-1855 | Colonial Medical Practice 227 Salvador Sq Winter Park FL 32789-5618 Ph: (407) 427-1855 |
| NPI Number | 1518289487 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 01/18/2024 |
| Certification Date | 01/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518289487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME101147 (Florida) | Primary |
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