Colaluce, Marc Gregory
Colaluce, Marc Gregory is an sole proprietor health care provider with primary practice located at 5760 10Th Ave N , St Petersburg FL 33710-6432. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Colaluce, Marc Gregory can be contacted via phone (727) 384-1111.Contact Information
Primary practice address
5760 10Th Ave N
St Petersburg FL 33710-6432
Phone: (727) 384-1111
Fax: (727) 384-1112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO2815 | Florida |
Profile Details
| NPI number | 1174734735 |
|---|---|
| LBN Legal business name | Colaluce, Marc Gregory |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2007 |
| Last updated | Feb 18th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174734735 | NPPES |
| Florida | Other | 11010101 | CITRUSCAID |
| Florida | Other | 21212024000 | CITRUSCAID |
| Florida | Other | 2700633 | CITRUSCAID |
| Florida | Other | 1734395 | CITRUSCAID |
| Florida | Other | 65644 | CITRUSCAID |
| Florida | Other | 11187 | CITRUSCAID |
| Florida | Other | 163508 | CITRUSCAID |
| Florida | Other | 59368468133733A01 | CITRUSCAID |
| Florida | Other | 649524 | CITRUSCAID |
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