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1407844558
ALFONZA MCCOLLUM
ORMOND BEACH, FL
NPI
1407844558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME83401)
Enumeration Date
2005-10-12
Last Update Date
2015-11-30
Business Address
Dr. ALFONZA MCCOLLUM M.D.
461 SOUTH NOVA ROAD
ORMOND BEACH, FL 33174-6138
Phone number: 386-671-4337
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Mailing Address
Dr. ALFONZA MCCOLLUM M.D.
P.O. BOX 9671
DAYTONA BEACH, FL 32120-9671
Phone number: 386-676-7130
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