MEDICARE: FLOYD COLLINS JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376K00000X	Nurse's Aide
2	172A00000X	Driver		TN

General Provider Information

NPI Number	:	1881315380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLOYD COLLINS JR.

Provider Business Mailing Address
First Line	:	3214 SENNADALE LN
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-2422
Country	:	US
Telephone Number	:	615-578-2831
Fax Number	:

Provider Business Practice Location Address
First Line	:	3214 SENNADALE LN
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-2422
Country	:	US
Telephone Number	:	615-578-2831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2022
Last Update Date	:	09/05/2022

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