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NPI Code Detail

MEDICARE: DR. JOHN JOSEPH COLEMAN DPM

MEDICARE: DR. JOHN JOSEPH COLEMAN DPM
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
1213E00000XPodiatristPO0001570FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1480030619OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
287929OTHERFLBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457315756
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN JOSEPH COLEMAN DPM
Provider Business Mailing Address
First Line : 159 N 3RD ST
Second Line :
City : MACCLENNY
State : FL
Zip : 32063-2103
Country : US
Telephone Number : 904-259-5277
Fax Number : 904-653-4677
Provider Business Practice Location Address
First Line : 159 N 3RD ST
Second Line :
City : MACCLENNY
State : FL
Zip : 32063-2103
Country : US
Telephone Number : 904-259-5277
Fax Number : 904-653-4677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 04/25/2017

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Directions to “ DR. JOHN JOSEPH COLEMAN DPM” Practice Location

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