Individual
CHARLES MICHAEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 S OLD DIXIE HWY, JUPITER, FL 33458-7205
(561) 748-2889
(561) 748-1523
Mailing address
PO BOX 2699, JUPITER, FL 33468-2699
(561) 748-2889
(561) 748-1523
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME41466
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94104
BCBS
FL
Enumeration date
07/18/2006
Last updated
07/08/2007
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