Individual
BRIAN PHILLIP COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1255 VISCAYA PKWY STE 200, CAPE CORAL, FL 33990-3290
(239) 574-1988
(239) 574-1435
Mailing address
12730 NEW BRITTANY BLVD STE 602, FORT MYERS, FL 33907-4690
(239) 275-5522
(239) 275-4464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN9273725
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JA924Z
MEDICARE
FL
01
—
QG9X7
FLORIDA BLUE
FL
Enumeration date
07/10/2017
Last updated
10/13/2020
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