Provider Demographics
NPI:1215601430
Name:COLEN VENTURES
Entity Type:Organization
Organization Name:COLEN VENTURES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHAIM
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-894-7262
Mailing Address - Street 1:3910 CRYSTAL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-1254
Mailing Address - Country:US
Mailing Address - Phone:248-894-7262
Mailing Address - Fax:
Practice Address - Street 1:1803 S AUSTRALIAN AVE STE 121
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6454
Practice Address - Country:US
Practice Address - Phone:248-894-7262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty