Provider Demographics
NPI:1629304456
Name:ABITAN-COLON, JOELLE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JOELLE
Middle Name:
Last Name:ABITAN-COLON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:JOELLE
Other - Middle Name:
Other - Last Name:ABITAN-COLON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:20900 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1407
Mailing Address - Country:US
Mailing Address - Phone:305-333-4911
Mailing Address - Fax:305-682-8734
Practice Address - Street 1:20900 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1407
Practice Address - Country:US
Practice Address - Phone:305-333-4911
Practice Address - Fax:305-682-8734
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105162207Q00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine