Provider Demographics
NPI:1578156238
Name:KOLOMIYETS, THUY T (APRN)
Entity Type:Individual
Prefix:
First Name:THUY
Middle Name:T
Last Name:KOLOMIYETS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7781 BELVOIR DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-8186
Mailing Address - Country:US
Mailing Address - Phone:904-738-4196
Mailing Address - Fax:
Practice Address - Street 1:7781 BELVOIR DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8186
Practice Address - Country:US
Practice Address - Phone:904-738-4196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-14
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11011539207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine