Individual
MADISON LEIGH COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
843 N INDIAN RIVER DR, COCOA, FL 32922-7530
(561) 319-4523
Mailing address
843 N INDIAN RIVER DR, COCOA, FL 32922-7530
(561) 319-4523
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
162271
FL
2084P0800X
Psychiatry Physician
318752
NY
Other
Enumeration date
04/16/2019
Last updated
02/03/2024
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