Individual
JAMES EDWARD COLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 506-6388
Mailing address
1406 ROYAL GROVE LN, PORT ORANGE, FL 32129-8996
(386) 506-6388
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11009725
FL
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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