Derrick Collins Llc | |
1615 Ridgewood Ave Ste A Holly Hill FL 32117-1749 | |
(386) 262-9852 | |
Not Available |
Full Name | Derrick Collins Llc |
---|---|
Speciality | Case Management |
Location | 1615 Ridgewood Ave Ste A, Holly Hill, Florida |
Authorized Official Name and Position | Derrick Collins (OWNER) |
Authorized Official Contact | 3862629852 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Derrick Collins Llc 19 Starling Dr Daytona Beach FL 32117-1886 Ph: (386) 262-9852 | Derrick Collins Llc 1615 Ridgewood Ave Ste A Holly Hill FL 32117-1749 Ph: (386) 262-9852 |
NPI Number | 1013682418 |
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Provider Enumeration Date | 08/09/2021 |
Last Update Date | 08/09/2021 |
Certification Date | 08/09/2021 |
Identifier | Type | State | Issuer |
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1013682418 | NPI | - | NPPES |
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