Provider Demographics
NPI:1811545825
Name:COLSON, WILLIAM M III
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:COLSON
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 NW 2ND AVE.
Mailing Address - Street 2:702
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127
Mailing Address - Country:US
Mailing Address - Phone:786-531-0320
Mailing Address - Fax:
Practice Address - Street 1:5601 NW 2ND AVE.
Practice Address - Street 2:702
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127
Practice Address - Country:US
Practice Address - Phone:786-531-0320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider