Provider Demographics
NPI:1942294293
Name:FRAMENT, COLIN TOBY (PA-C)
Entity Type:Individual
Prefix:
First Name:COLIN
Middle Name:TOBY
Last Name:FRAMENT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EMERGENCY MEDICAL ASSOCIATES OF FLORIDA LLC
Mailing Address - Street 2:PO BOX 550643
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33655-0643
Mailing Address - Country:US
Mailing Address - Phone:386-274-7800
Mailing Address - Fax:386-274-7801
Practice Address - Street 1:3001 W. DR. MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:ST JOSEPH HOSPITAL, EMERGENCY ROOM
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607
Practice Address - Country:US
Practice Address - Phone:386-274-7800
Practice Address - Fax:386-274-7801
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9102590363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU8656ZOtherMEDICARE LEGACY #