Individual
DR. DAVID S. COLLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
701 ENTERPRISE RD E, SUITE 910, SAFETY HARBOR, FL 34695-5350
(727) 796-6900
(727) 669-8417
Mailing address
701 ENTERPRISE RD E, SUITE 910, SAFETY HARBOR, FL 34695-5350
(727) 796-6900
(727) 669-8417
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO2997
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO2997
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65787
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/24/2006
Last updated
01/30/2008
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