Provider Demographics
NPI:1497641294
Name:COLON LEBRON, KARLA M (RN)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:M
Last Name:COLON LEBRON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5066 GRAND TETON CT
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-0010
Mailing Address - Country:US
Mailing Address - Phone:939-419-3688
Mailing Address - Fax:
Practice Address - Street 1:775 HARLEY STRICKLAND BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7963
Practice Address - Country:US
Practice Address - Phone:386-457-6327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9585735163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health