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1194710871
COLIN CHAN
ST PETERSBURG, FL
NPI
1194710871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME73079)
Enumeration Date
2005-09-19
Last Update Date
2011-10-07
Business Address
-- COLIN CHAN M.D.
12450 ROOSEVELT BLVD N SUITE 101
ST PETERSBURG, FL 33716-1902
Phone number: 727-571-1688
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Mailing Address
-- COLIN CHAN M.D.
PO BOX 12868
ST PETERSBURG, FL 33733-2868
Phone number: 727-824-8357
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