Individual
WILLIAM W COLGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12271 US HIGHWAY 301 N, PARRISH, FL 34219-8410
(941) 708-7669
(941) 708-8893
Mailing address
PO BOX 499, PARRISH, FL 34219-0499
(941) 708-7669
(941) 708-8893
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME59857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006102800
—
FL
01
—
18355
BCBS
FL
05
—
371722400
—
FL
01
—
P00078193
RAILROAD MEDICARE
—
Enumeration date
12/01/2005
Last updated
01/28/2013
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