Provider Demographics
NPI:1871541847
Name:CONDRON, COLIN J (MD)
Entity type:Individual
Prefix:
First Name:COLIN
Middle Name:J
Last Name:CONDRON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:235 N WESTMONTE DR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3345
Mailing Address - Country:US
Mailing Address - Phone:407-389-5300
Mailing Address - Fax:407-389-5363
Practice Address - Street 1:414 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:407-841-7290
Practice Address - Fax:407-872-3913
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2016-08-10
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Provider Licenses
StateLicense IDTaxonomies
FL00168602080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine