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General NPI Number Information
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NPI Number | 1679050603
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Entity Type | Organization
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Legal Business Name | AMERICAN REGENERATIVE MEDICINE INSTITUTE, LLC
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 2515 NORTHBROOKE PLAZA DR STE 200
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City | NAPLES
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State | FL
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Zip | 34119-8088
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Country | US
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Telephone | 239-674-6177
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Fax |
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Provider Business Mailing Address
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Address Line | 2515 NORTHBROOKE PLAZA DR STE 200
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City | NAPLES
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State | FL
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Zip | 34119-8088
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Country | US
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Telephone | 239-674-6177
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Fax |
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Authorized Official
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Title or Position | OWNDER / DOCTOR
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Name | DR. DAVID EARL COLLINS
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Credential | DC, CCST
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Telephone | 239-595-4636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | OS9899
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9102277
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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