Active NPI
Carlos Coloma, APRN
- Family Nurse Practitioner
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9371022
- Practice address
- 3319 S State Road 7 Ste 102
Wellington, FL 33449-8099 - Phone
- (561) 333-4000
- Fax
- (561) 333-8851
- NPI assigned
- Feb 10, 2014
- Last updated
- Feb 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9371022 | FL | Primary |
Addresses
Primary practice location
3319 S State Road 7 Ste 102
Wellington, FL 33449-8099
Mailing address
367 S. Gulph Rd
Attn: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (561) 333-4000
Other practice location 1
13421 S Shore Blvd Ste 101
Wellington, FL 33414-7210
Phone (561) 440-1616
Other practice location 2
330 S Dixie Hwy
suite 3
Lake Worth, FL 33460-4400
Phone (561) 275-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9371022 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Boynton Urgent Care, LLC | Current | Accepting new patients | |
| Solantic of Jacksonville, LLC | Current | Accepting new patients | |
| Shands/Solantic Joint Venture, LLC | Current | Accepting new patients | |
| Hma/Solantic Joint Venture, LLC | Current | Accepting new patients | |
| Solantic/South Florida, LLC | Current | Accepting new patients | |
| Soma Medical Center, P. a #4 | Past | Accepting new patients |
Locations
8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273
720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000
13460 Beach Blvd
Ste 1
Jacksonville, FL 32224
Phone (904) 854-1700
2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337
2415 SW College Rd
Ocala, FL 34471
Phone (352) 237-3536
9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881
1611 S Federal Hwy
Pompano Beach, FL 33062
Phone (954) 580-4001
1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200
463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AWCHU1
- https://fhir4.healow.com/fhir/r4/DDCGDD/Endpoint/DDCGDD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1689812109
-
- Urgent Care Clinic/Center
- Gainesville, FL
- NPI 1558595223
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Ponte Vedra, FL
- NPI 1407893100
-
dba CareSpot Express Healthcare
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1851344378
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1003172628
-
- Pediatrics Physician
- Lake Worth, FL
- NPI 1184920613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1124442314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 S. GULPH RD",
"address_2": "ATTN: IPM CREDENTIALING",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063121",
"telephone_number": "561-333-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 S STATE ROAD 7 STE 102",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334498099",
"telephone_number": "561-333-4000",
"fax_number": "561-333-8851"
}
],
"practiceLocations": [
{
"address_1": "13421 S Shore Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "FL",
"postal_code": "334147210",
"country_code": "US",
"telephone_number": "561-440-1616",
"fax_number": "561-440-2030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 S Dixie Hwy",
"address_2": "suite 3",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "334604400",
"country_code": "US",
"telephone_number": "561-275-1155",
"fax_number": "561-275-1156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLOMA",
"first_name": "CARLOS",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-10",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9371022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
- Hart Andrew Collier, DC
- Michelle E. Collier, O.D.
- Glenn M Collins, M.D.
- Jeffrey Paul Collins, M.D.
- Brandi Lynn Collison, RBT
- Comfortable Care Dental Health Professionals, P.a. (Green Village Dental Care)
- Compassionate Care Recovery Inc
- Compassionate Mind Behavioral Health Corp
- Complete Healthcare for Women
- Comprehensive Pain Care of S FL (Howell R Goldfarb MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.