Individual
CECELIA ANNE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., R.N.
Contact information
Practice address
9215 CALLE ARRAGON AVENUE, UNIT 205, FORT MYERS, FL 33908
(239) 791-8586
Mailing address
9215 CALLE ARRAGON AVENUE, UNIT 205, FORT MYERS, FL 33908
(239) 791-8586
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND5542
FL
163WD0400X
Diabetes Educator Registered Nurse
RN9259740
FL
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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