Individual
MADISON MARIE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
5460 NW 40TH TER, COCONUT CREEK, FL 33073-4014
(516) 398-4840
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11015658
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
11015658
FL
Other
Enumeration date
09/30/2021
Last updated
01/19/2022
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