Collins, Thomas Joseph

Collins, Thomas Joseph is an individual health care provider with primary practice located at 44Th Cst/Wmd Bldg# 4398 Camp Blanding Joint Training Center, Starke FL 32091. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Collins, Thomas Joseph can be contacted via phone (904) 682-2419.

Contact Information

Primary practice address
44Th Cst/Wmd Bldg# 4398 Camp Blanding Joint Training Center Starke FL 32091
Phone: (904) 682-2419
Fax: (904) 682-3230
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 3726 Florida

Profile Details

NPI number 1497786099
LBN Legal business name Collins, Thomas Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 1st, 2010 - about 15 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 1497786099 NPPES
Florida MEDICAID E38012

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