Healthcare Provider Details

I. General information

NPI: 1851368625
Provider Name (Legal Business Name): DOUGLAS B COLMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 JOG RD SUITE 205
DELRAY BEACH FL
33446
US

IV. Provider business mailing address

15300 JOG ROAD SUITE 205
DELRAY BEACH FL
33446
US

V. Phone/Fax

Practice location:
  • Phone: 561-496-7200
  • Fax: 561-496-7989
Mailing address:
  • Phone: 561-496-7200
  • Fax: 561-496-7989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS5210
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: