1447714209 NPI number — MISS SHERLEY COLLADO JUSTINANO MD

Table of content: MISS SHERLEY COLLADO JUSTINANO MD (NPI 1447714209)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447714209 NPI number — MISS SHERLEY COLLADO JUSTINANO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COLLADO JUSTINANO
Provider First Name:
SHERLEY
Provider Middle Name:
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COLLADO
Provider Other First Name:
SHERLEY
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1447714209
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/15/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 5TH STREET SOUTH
Provider Second Line Business Mailing Address:
SUITE 3100
Provider Business Mailing Address City Name:
ST. PETERSBURG
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-767-3598
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 5TH STREET SOUTH, SUITE 3100
Provider Second Line Business Practice Location Address:
SUITE 3100
Provider Business Practice Location Address City Name:
ST PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33071
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-767-3598
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/25/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  24446 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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