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NPI Code Detail

MEDICARE: DONALD COLBERT

MEDICARE: DONALD COLBERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME 46871FL

General Provider Information

NPI Number : 1043414303
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD COLBERT
Provider Business Mailing Address
First Line : 1908 BOOTHE CIR
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-6774
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1908 BOOTHE CIR
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-6774
Country : US
Telephone Number : 407-331-7007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 07/08/2007

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Directions to “ DONALD COLBERT ” Practice Location

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