Individual
CHRISTINE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12902 USF MAGNOLIA DR, MDC 44, TAMPA, FL 33612-9416
(813) 745-8486
(813) 979-3064
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102939
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291996600
—
FL
01
—
P01119537
RAILROAD MEDICARE
IN
Enumeration date
07/11/2006
Last updated
02/15/2013
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