Individual
DR. DANIEL CLAYTON DOORNBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5011 GATE PARKWAY, BLDG 100 STE 100, JACKSONVILLE, FL 32256
(904) 512-7239
(866) 380-0827
Mailing address
1325 SAN MARCO BLVD STE 300, JACKSONVILLE, FL 32207-8567
(904) 253-6910
(904) 253-6964
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME150001
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME150001
FL
207RP1001X
Pulmonary Disease Physician
ME150001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110670900
—
FL
Enumeration date
06/30/2006
Last updated
05/23/2023
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