Provider Demographics
NPI:1003061326
Name:COLFER, JOAN M (MD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:M
Last Name:COLFER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CARL
Other - Middle Name:
Other - Last Name:KEPFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34106-0429
Mailing Address - Country:US
Mailing Address - Phone:239-252-5332
Mailing Address - Fax:239-774-5653
Practice Address - Street 1:3301 TAMIAMI TRAIL
Practice Address - Street 2:COLLIER COUNTY GOVERNMENT CENTER - BUILDING H
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34106-0429
Practice Address - Country:US
Practice Address - Phone:239-252-5332
Practice Address - Fax:239-774-5653
Is Sole Proprietor?:No
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 798672083P0901X
MDD00270592083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine