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NPI Code Detail

MEDICARE: HIAM RASMY COLLAR APRN

MEDICARE: HIAM RASMY COLLAR APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11018153FL
2363L00000XNurse PractitionerAPRN11018153FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457006231
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIAM RASMY COLLAR APRN
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 4100 WATERMAN WAY
Second Line :
City : TAVARES
State : FL
Zip : 32778-5270
Country : US
Telephone Number : 352-343-1117
Fax Number : 866-445-2968
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2022
Last Update Date : 04/11/2023

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