Collins, Beverly Ann

Collins, Beverly Ann is an individual health care provider with primary practice located at 8095 Spyglass Hill Road Suite 101, Melbourne FL 32940. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Collins, Beverly Ann can be contacted via phone (321) 757-0577.

Contact Information

Primary practice address
8095 Spyglass Hill Road Suite 101 Melbourne FL 32940
Phone: (321) 757-0577
Fax: (321) 757-0474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3687 Florida

Profile Details

NPI number 1700866647
LBN Legal business name Collins, Beverly Ann
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Oct 21st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700866647 NPPES
Florida MEDICAID 069221200

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