MEDICARE: CINDY K LOCKWOOD COLLIER ARNP

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	363LG0600X	Gerontology Nurse Practitioner	ARNP1570975	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1851385165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY K LOCKWOOD COLLIER ARNP

Provider Business Mailing Address
First Line	:	1948 MARTINA ST
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32703-1558
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 WEBSTER ST
Second Line	:	RURAL MEDICAL ASSOC. INC
City	:	WILDWOOD
State	:	FL
Zip	:	34785-4036
Country	:	US
Telephone Number	:	352-799-5411
Fax Number	:	352-544-2713

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

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	09/01/2016

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