Collom, David S.

Collom, David S. is an individual health care provider with primary practice located at 701 Enterprise Rd E Suite 910, Safety Harbor FL 34695-5350. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Collom, David S. can be contacted via phone (727) 796-6900.

Contact Information

Primary practice address
701 Enterprise Rd E Suite 910 Safety Harbor FL 34695-5350
Phone: (727) 796-6900
Fax: (727) 669-8417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO2997 Florida
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X PO2997 Florida

Profile Details

NPI number 1174545388
LBN Legal business name Collom, David S.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jan 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174545388 NPPES
Florida Other 65787 BLUE CROSS BLUE SHIELD

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