Provider Demographics
NPI:1316145618
Name:COLTON, PAULA YASMINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:YASMINE
Last Name:COLTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6409 SW 84TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-8548
Mailing Address - Country:US
Mailing Address - Phone:352-367-8612
Mailing Address - Fax:
Practice Address - Street 1:2649 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-2835
Practice Address - Country:US
Practice Address - Phone:352-379-0759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS35994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist