Healthcare Provider Details

I. General information

NPI: 1093633927
Provider Name (Legal Business Name): THOMAS JOHN COLLINS PHARM D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 ALAFAYA TRL STE 148
OVIEDO FL
32765-9430
US

IV. Provider business mailing address

551 COLISEUM ST APT 23202
ORLANDO FL
32828-5294
US

V. Phone/Fax

Practice location:
  • Phone: 407-366-9720
  • Fax:
Mailing address:
  • Phone: 772-631-9099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS70845
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: