MEDICARE: MS. STEPHANIE M COLLINS PA

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	363A00000X	Physician Assistant	PA9102957	FL

General Provider Information

NPI Number	:	1326152182
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE M COLLINS PA

Provider Business Mailing Address
First Line	:	PO BOX 3217
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32004-3217
Country	:	US
Telephone Number	:	904-247-4070
Fax Number	:	904-247-4131

Provider Business Practice Location Address
First Line	:	3316 3RD ST S
Second Line	:	SUITE 102
City	:	JACKSONVILLE
State	:	FL
Zip	:	32250-6073
Country	:	US
Telephone Number	:	904-247-4070
Fax Number	:	904-247-4131

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

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1801883582 — JACKSONVILLE BEACHES MEDICAL IMAGING INC
Practice Location Address:

3316 3RD ST S , SUITE 101
JACKSONVILLE BEACH, FL
32250-6073

Practice Phone: 904-241-7772
Practice Fax: 904-241-7702

1700844420 — KARIM JACOB SAMARA MD
Practice Location Address:

3316 3RD ST S , SUITE 103
JACKSONVILLE, FL
32250-6073

Practice Phone: 904-241-7865
Practice Fax:

1336240688 — RICHARD L SIMMONS M.D.
Practice Location Address:

3316 3RD ST S , SUITE 103
JACKSONVILLE BEACH, FL
32250-6073

Practice Phone: 904-241-7865
Practice Fax:

1316032204 — CHARLES STEVEN LANCASTER O.D.
Practice Location Address:

3316 3RD ST S , SUITE 103
JACKSONVILLE BEACH, FL
32250-6073

Practice Phone: 904-241-7865
Practice Fax:

1043356538 — CHARLES V DUSS M.D.
Practice Location Address:

3316 3RD ST S , SUITE 103
JACKSONVILLE, FL
32250-6073

Practice Phone: 904-241-7865
Practice Fax:

1346383270 — ATLANTIC EYE INSTITUTE P.A.
Practice Location Address:

3316 3RD ST S , SUITE 103
JACKSONVILLE, FL
32250-6073

Practice Phone: 904-241-2990
Practice Fax:

Directions to “ MS. STEPHANIE M COLLINS PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.