Basic Information
| Provider Information | |||||||||
| NPI: | 1689645970 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COLPOYS | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 725 W GRANADA BLVD STE 1 | ||||||||
| Address2: | |||||||||
| City: | ORMOND BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 321749406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3866732770 | ||||||||
| FaxNumber: | 3866732760 | ||||||||
| Practice Location | |||||||||
| Address1: | 725 W GRANADA BLVD STE 1 | ||||||||
| Address2: | |||||||||
| City: | ORMOND BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 321749406 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5859228230 | ||||||||
| FaxNumber: | 5859228260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/27/2006 | ||||||||
| LastUpdateDate: | 05/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | ME150881 | FL | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 01885038 | 05 | NY | MEDICAID | 113201300 | 05 | FL | MEDICAID |