Individual
COLLIN MULDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14108 OLD DIXIE HWY, HUDSON, FL 34667-1362
(616) 240-3016
Mailing address
14108 OLD DIXIE HWY, HUDSON, FL 34667-1362
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
9047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003855600
—
FL
Enumeration date
05/21/2014
Last updated
05/21/2014
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