Individual
DR. JOHN JOSEPH COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-5277
(904) 653-4677
Mailing address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-5277
(904) 653-4677
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO0001570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029623600
—
FL
01
—
480030619
RAILROAD MEDICARE
FL
01
—
87929
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/13/2006
Last updated
04/25/2017
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