Individual
MR. JEREMIAH DORRINGTON COLLINS IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7026 SW 46TH AVE, GAINESVILLE, FL 32608-6408
(727) 599-6926
Mailing address
7026 SW 46TH AVE, GAINESVILLE, FL 32608-6408
(727) 599-6926
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA64927
FL
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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