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Organization
OA CENTERS OF FLORIDA, LLC.
Active
Organization
OA CENTERS OF FLORIDA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM E. COLLINS (DESIGNATED PRINCIPAL)
(336) 399-1112
Entity
Organization
Contact information
Practice address
29 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 791-8173
(239) 791-8256
Mailing address
29 BARKLEY CIR, FORT MYERS, FL 33907-7531
(239) 791-8173
(239) 791-8256
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME0040553
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FW628A
MEDICARE PTAN
FL
Enumeration date
10/19/2011
Last updated
07/25/2013
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