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Dr. Alfonza Mccollum JR., MD
Family Medicine Physician in Ormond Beach, Florida
NPI 1407844558

Alfonza Mccollum JR. is a Family Medicine Physician based in Daytona Beach, FL. Alfonza Mccollum JR. practices in Ormond Beach, FL and has the professional credentials of MD. The NPI Number for Alfonza Mccollum JR. is 1407844558 and holds a License No. ME83401 (Florida).

The current practice location address for Alfonza Mccollum JR. is 461 South Nova Road, Ormond Beach, FL and can be reached out via phone at 386-671-4337 and via fax at 386-671-7242.

Location: 461 South Nova Road, Ormond Beach, FL, 32120-9671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407844558
Provider Name
Alfonza Mccollum JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
461 South Nova Road, Ormond Beach, FL, 32120-9671
Phone Number
386-671-4337
Fax Number
386-671-7242
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407844558 01 FL TRICARE
267116600 05 FL
P00444511 01 FL RAILROAD MEDICARE NUMBER
57851 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
461 South Nova Road
City
Ormond Beach
State
Florida
Zip
33174-6138
Phone Number
386-671-4337
Fax Number
386-671-7242
person
Provider Business Mailing Address Details
Address
461 South Nova Road
City
Ormond Beach
State
Florida
Zip
33174-6138
Phone Number
386-671-4337
Fax Number
386-671-7242
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME83401 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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