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NPI Code Detail

MEDICARE: DR. DAVID ALEXANDER COLL M.D.

MEDICARE: DR. DAVID ALEXANDER COLL M.D.
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
12085R0202XDiagnostic Radiology PhysicianME87524FL

General Provider Information

NPI Number : 1598740110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID ALEXANDER COLL M.D.
Provider Business Mailing Address
First Line : 1689 WILD DUNES CIR
Second Line :
City : ORANGE PARK
State : FL
Zip : 32065-2626
Country : US
Telephone Number : 904-589-9240
Fax Number :
Provider Business Practice Location Address
First Line : 1536 N JEFFERSON ST
Second Line : DEPT. OF VA - JACKSONVILLE OUTPATIENT CLINIC
City : JACKSONVILLE
State : FL
Zip : 32209-6525
Country : US
Telephone Number : 904-475-5800
Fax Number : 904-232-2381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 12/03/2013

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