Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | OP16217 | FL |
NPI | 1982945473 |
---|---|
Provider Name | Dr. Kristin Cola |
First Address | Fort Myers, FL 33908-3732 |
Second Address | Fort Myers, FL 33908-3732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2013 |
Last Update Date | 26/07/2019 |