Richard Lee Colonel

Driver · Hawthorne, FL

Individual Active NPI

NPI number 1033589429

Practice location

143 Melrose Landing Dr
Hawthorne, FL 32640-4417
Phone
(352) 642-5085
Fax
(877) 481-8035

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NPI record

NPI
1033589429
Entity type
Individual (Type 1)
Enumeration date
September 29, 2015
Last updated
September 29, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X C454752523700 FL

Mailing address

PO Box 571
Hawthorne, FL 32640-0571
Phone
(352) 642-5085
Fax
(877) 481-8035

About Richard Colonel

Richard Lee Colonel is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 143 Melrose Landing Dr, Hawthorne, FL 32640-4417. The NPI number 1033589429 was assigned on September 29, 2015 and the record was last updated on September 29, 2015.

Richard Colonel lists a license in the registry: #C454752523700 (FL) for Driver. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Richard Lee Colonel?

The NPI number is 1033589429.

What is the phone number of Richard Colonel?

The phone number listed for the practice location is (352) 642-5085.

Where is Richard Colonel located?

143 Melrose Landing Dr, Hawthorne, FL 32640-4417.

What is the taxonomy code for Richard Colonel?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.