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NPI Code Detail

MEDICARE: DR. DAVID E COLLINS D.C.

MEDICARE: DR. DAVID E COLLINS D.C.
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
1111N00000XChiropractorCH7726FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
155956OTHERFLBCBS FL

General Provider Information

NPI Number : 1962528729
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID E COLLINS D.C.
Provider Business Mailing Address
First Line : 3443 PINE RIDGE RD
Second Line :
City : NAPLES
State : FL
Zip : 34109-3926
Country : US
Telephone Number : 239-514-4004
Fax Number : 239-514-4044
Provider Business Practice Location Address
First Line : 3443 PINE RIDGE RD
Second Line :
City : NAPLES
State : FL
Zip : 34109-3926
Country : US
Telephone Number : 239-514-4004
Fax Number : 239-514-4044
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 01/25/2016

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