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Contact Information

THOMAS J COLLINS, PA-C
44TH CST/WMD BLDG# 4398
CAMP BLANDING JOINT TRAINING CENTER
STARKE, FL32091
 Phone: 904-682-2419
 Fax: 904-682-3230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for THOMAS J COLLINS · (Male)

NPI # 1497786099
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/05/2006
Last updated 12/01/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA 3726
  • FL Medicaid E38012
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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