Colalillo, Maryanne

Colalillo, Maryanne is an individual health care provider with primary practice located at 4030 W Boy Scout Blvd Ste 800 , Tampa FL 33607-5713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Colalillo, Maryanne can be contacted via phone (813) 286-0033.

Contact Information

Primary practice address
4030 W Boy Scout Blvd Ste 800 Tampa FL 33607-5713
Phone: (813) 286-0033
Fax: (813) 282-1806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 122943 Florida

Profile Details

NPI number 1902866593
LBN Legal business name Colalillo, Maryanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jun 23rd, 2023 - about 3 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902866593 NPPES
Florida MEDICAID 014984500
Florida Other IE832Z

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