MEDICARE: COLLIS KIMBROUGH LCSW

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	1041C0700X	Clinical Social Worker	SW 9190	FL

General Provider Information

NPI Number	:	1881830370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLIS KIMBROUGH LCSW

Provider Business Mailing Address
First Line	:	2655 E OAKLAND PARK BLVD
Second Line	:	SUITE 2
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1662
Country	:	US
Telephone Number	:	954-561-3112
Fax Number	:

Provider Business Practice Location Address
First Line	:	2655 E OAKLAND PARK BLVD
Second Line	:	SUITE 2
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1662
Country	:	US
Telephone Number	:	954-561-3112
Fax Number	:

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

Provider Enumeration Date	:	01/05/2009
Last Update Date	:	11/01/2011

Similar Medicare Providers

1093805921 — CHARMAINE JOHNSON-LEONG, DDS, PA
Practice Location Address:

2655 E OAKLAND PARK BLVD , SUITE 1
FORT LAUDERDALE, FL
33306-1662

Practice Phone: 954-566-7479
Practice Fax: 954-565-0450

1972654275 — DR. DAVID MICHAEL FAWCETT PHD, LCSW
Practice Location Address:

2655 E OAKLAND PARK BLVD , SUITE 2
FORT LAUDERDALE, FL
33306-1662

Practice Phone: 954-776-3639
Practice Fax: 954-776-3639

1760524847 — MATEO J MARTINEZ PT
Practice Location Address:

2655 E OAKLAND PARK BLVD , SUITE 5
FORT LAUDERDALE, FL
33306-1662

Practice Phone: 954-630-3131
Practice Fax:

1245444843 — SOUTH FLORIDA CENTER FOR COUNSELING AND THERAPY
Practice Location Address:

2655 E OAKLAND PARK BLVD , SUITE 2
FORT LAUDERDALE, FL
33306-1662

Practice Phone: 954-776-3639
Practice Fax:

1780902726 — LEVERAGE HEALTH, INC.
Practice Location Address:

2655 E OAKLAND PARK BLVD , SUITE 5
FORT LAUDERDALE, FL
33306-1662

Practice Phone: 954-630-3131
Practice Fax: 954-630-3132

1972860799 — COLLIS KIMBROUGH, LCSW
Practice Location Address:

2655 E OAKLAND PARK BLVD , SUITE 2
FORT LAUDERDALE, FL
33306-1662

Practice Phone: 954-561-3112
Practice Fax:

Directions to “ COLLIS KIMBROUGH LCSW” 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.