Organization
COLLIN BUCHANAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN BUCHANAN (PROVIDER)
(813) 523-5963
Entity
Organization
Contact information
Practice address
3715 E POWHATAN AVE, TAMPA, FL 33610-3726
(813) 523-5963
Mailing address
3715 E POWHATAN AVE, TAMPA, FL 33610-3726
(813) 523-5963
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129602300
—
FL
Enumeration date
03/17/2026
Last updated
03/17/2026
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