Provider Demographics
NPI:1386785848
Name:COLON, HECTOR JUAN (MSW)
Entity type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:JUAN
Last Name:COLON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 JOHNS LAKE RD
Mailing Address - Street 2:#1021
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-6655
Mailing Address - Country:US
Mailing Address - Phone:407-404-4754
Mailing Address - Fax:
Practice Address - Street 1:501 N WYMORE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2808
Practice Address - Country:US
Practice Address - Phone:407-975-2665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical