Individual
MR. ROBERT PATRICK COLLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
763 HARLEY STRICKLAND BLVD, ORANGE CITY, FL 32763-7962
(386) 775-4467
(386) 775-8679
Mailing address
1426 CARING CT, MAITLAND, FL 32751-4252
(407) 687-9087
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME59513
FL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
ME59513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
593466213
TAX IDENTIFICATION
FL
Enumeration date
03/29/2006
Last updated
07/18/2023
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