Collins, Matthew T

Collins, Matthew T is an individual health care provider with primary practice located at 1250 S 18Th St Ste 202 , Fernandina Beach FL 32034-4729. 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, Matthew T can be contacted via phone (904) 277-4690.

Contact Information

Primary practice address
1250 S 18Th St Ste 202 Fernandina Beach FL 32034-4729
Phone: (904) 277-4690
Fax: (904) 277-8487
Website:
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Health care specialties

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

Profile Details

NPI number 1598251464
LBN Legal business name Collins, Matthew T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2018
Last updated Feb 10th, 2021 - about 3 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 1598251464 NPPES
Florida Other L4604 MEDICARE
Florida Other TBXDW MEDICARE

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