Individual
MICHAEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP
Contact information
Practice address
3191 HARBOR BLVD STE A, PORT CHARLOTTE, FL 33952-6755
(239) 690-6906
Mailing address
2021 NE 13TH AVE, CAPE CORAL, FL 33909-4412
(724) 601-6142
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11034754
FL
Other
Enumeration date
08/19/2024
Last updated
09/18/2024
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