Individual
COLEMAN J BRYAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MSPH
Contact information
Practice address
554 KEILY STREET, JACKSONVILLE, FL 32212
(757) 953-7550
(757) 953-7560
Mailing address
554 KEILY STREET, JACKSONVILLE, FL 32212
(757) 953-7550
(757) 953-7560
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
0101254561
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009993995
—
AL
05
—
009994025
—
AL
Enumeration date
10/23/2006
Last updated
04/11/2017
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