Individual
MR. EDWARD NATHAN COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1550 BUSINESS CENTER DR, SUITE B, ORANGE PARK, FL 32003-7450
(904) 264-6304
Mailing address
2130 SALT MYRTLE LN, ORANGE PARK, FL 32003-7074
(904) 264-6304
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y904L
BCBS PROVIDER NUMBER
FL
Enumeration date
02/14/2006
Last updated
09/08/2010
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