Chan, Colin
Chan, Colin is an sole proprietor health care provider with primary practice located at 12450 Roosevelt Blvd N Suite 101, St Petersburg FL 33716-1902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chan, Colin can be contacted via phone (727) 571-1688.Contact Information
Primary practice address
12450 Roosevelt Blvd N Suite 101
St Petersburg FL 33716-1902
Phone: (727) 571-1688
Fax: (727) 572-0900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME73079 | Florida |
Profile Details
| NPI number | 1194710871 |
|---|---|
| LBN Legal business name | Chan, Colin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Mar 30th, 2026 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194710871 | NPPES |
| Florida | MEDICAID | 252278100 |
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