Provider Demographics
NPI:1053342980
Name:COLMAN, MARC A (BC HIS, ACA)
Entity type:Individual
Prefix:MR
First Name:MARC
Middle Name:A
Last Name:COLMAN
Suffix:
Gender:M
Credentials:BC HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6307 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-4328
Mailing Address - Country:US
Mailing Address - Phone:561-585-5499
Mailing Address - Fax:561-585-5497
Practice Address - Street 1:6307 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-4328
Practice Address - Country:US
Practice Address - Phone:561-585-5499
Practice Address - Fax:561-585-5497
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS1782237700000X, 246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other