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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