Organization Active NPI

Colonial Management Group

  • Methadone Clinic
  • Pinellas Park, FL
National Provider Identifier
1831686765
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
COLONIAL MANAGEMENT GROUP
Practice address
8800 49TH St N Ste 106
Pinellas Park, FL 33782-5332
Phone
(727) 544-0044
NPI assigned
Apr 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Carlos Nelson, MASTERS
Title
Program Director
Phone
(727) 544-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X FL Primary

Addresses

Primary practice location

8800 49TH St N Ste 106
Pinellas Park, FL 33782-5332

Mailing address

8800 49TH St N Ste 106
Pinellas Park, FL 33782-5332
Phone (727) 544-0044

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1831686765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 49TH ST N STE 106",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825332",
            "telephone_number": "727-544-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 49TH ST N STE 106",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825332",
            "telephone_number": "727-544-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "727-544-0044",
        "authorized_official_credential": "MASTERS"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.