Individual
MR. LAWRENCE H COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 821-8025
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL209
FL
363AM0700X
Medical Physician Assistant
Primary
PA2366
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290100500
—
FL
Enumeration date
06/22/2005
Last updated
07/01/2025
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