Doornbos, Daniel Clayton

Doornbos, Daniel Clayton is an individual health care provider with primary practice located at 5011 Gate Parkway Bldg 100 Ste 100, Jacksonville FL 32256. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Doornbos, Daniel Clayton can be contacted via phone (904) 512-7239.

Contact Information

Primary practice address
5011 Gate Parkway Bldg 100 Ste 100 Jacksonville FL 32256
Phone: (904) 512-7239
Fax: (866) 380-0827
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME150001 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME150001 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME150001 Florida

Profile Details

NPI number 1447289954
LBN Legal business name Doornbos, Daniel Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated May 23rd, 2023 - about 2 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 1447289954 NPPES
Florida MEDICAID 110670900

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