Sergo Colin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F12190038 Issued in FL

Practice address

1665 NE 159TH St
North Miami Beach, FL 33162-4739

Phone

(305) 896-0750

NPI assigned

Dec 16, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1043858434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 NE 159TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 NE 159TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624739",
            "telephone_number": "305-896-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLIN",
        "first_name": "SERGO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F12190038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Richard Cohn, DMD
• Jahcob Kristian Coicou
• Gina R Colaizzo
• Laci Rae Cole
• Cheryl Yvette Coleman, ARNP
• Deborah Shenika Collins, LMT
• Comfort Home Health Care LLC
• Community Behavior Care LLC
• Community Birth Group
• Community Health Care of North Miami Beach, LLC

• Family Nurse Practitioner in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.