Individual
BEVERLY ANN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
8095 SPYGLASS HILL ROAD, SUITE 101, MELBOURNE, FL 32940
(321) 757-0577
(321) 757-0474
Mailing address
8095 SPYGLASS HILL ROAD, SUITE 101, MELBOURNE, FL 32940
(321) 757-0577
(321) 757-0474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069221200
—
FL
Enumeration date
01/18/2006
Last updated
10/21/2010
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