Colonial Medical Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

HCC4037 Issued in FL

Legal business name

COLONIAL MEDICAL CENTER

Practice address

717 Altaloma Ave
Suite B
Orlando, FL 32803-4158

Phone

(407) 894-9984

Fax

(407) 541-2015

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Eaker

Title

Owner

Phone

(407) 894-9984

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558496398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ALTALOMA AVE",
            "address_2": "SUITE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034158",
            "telephone_number": "407-894-9984",
            "fax_number": "407-541-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ALTALOMA AVE",
            "address_2": "SUITE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034158",
            "telephone_number": "407-894-9984",
            "fax_number": "407-541-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EAKER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-894-9984",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "HCC4037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamila Colon
• Colonial Chiropractic Associates (Injury Health Center)
• Colonial Chiropractic Center
• Colonial Counseling Associates, Inc
• Colonial Dental Care,Inc
• Colonial Pain Relief Clinic
• Colonial Rehabilitation, Inc
• Taylor Rose Colore, MD
• Joseph Colton
• Wilmer Columbie Sardinas, MD

• Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.