Provider Demographics
NPI:1851368625
Name:COLMAN, DOUGLAS B (DO)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:B
Last Name:COLMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15300 JOG ROAD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446
Mailing Address - Country:US
Mailing Address - Phone:561-496-7200
Mailing Address - Fax:561-496-7989
Practice Address - Street 1:15300 JOG RD
Practice Address - Street 2:SUITE 205
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446
Practice Address - Country:US
Practice Address - Phone:561-496-7200
Practice Address - Fax:561-496-7989
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS5210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL370070400Medicaid
FLE32328Medicare UPIN
FL370070400Medicaid