Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME94081 | FL |
N | 2080P0214X | Pediatric Pulmonologist | ME94081 | FL |
NPI | 1104853688 |
---|---|
Provider Name | Andrew R Colin |
First Address | Miami, FL 33101-6960 |
Second Address | Miami, FL 33101-6960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 19/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2743485-00 | (05) | FL |
32635 | (02) | FL |
E45946 | (02) | FL |