Provider Demographics
NPI:1033294475
Name:COLON, FRANCES IVELISSE (DC)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:IVELISSE
Last Name:COLON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10773 NW 58TH ST
Mailing Address - Street 2:# 321
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-2801
Mailing Address - Country:US
Mailing Address - Phone:305-477-6366
Mailing Address - Fax:305-594-1733
Practice Address - Street 1:9500 NW 41ST ST
Practice Address - Street 2:SUITE 1000
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178
Practice Address - Country:US
Practice Address - Phone:305-477-6366
Practice Address - Fax:305-594-1733
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9456111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
35101Medicare UPIN
PR35101Medicare ID - Type Unspecified