Robert P. Collette MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME59513 Issued in FL

Legal business name

ROBERT P. COLLETTE MD PA

Practice address

763 Harley Strickland Blvd
Orange City, FL 32763

Phone

(386) 775-4467

Fax

(386) 775-8679

NPI assigned

Dec 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Patrick Collette, MDNPI 1659332732

Title

President

Phone

(386) 775-4467

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Patrick Collette, M.D.

  • Otolaryngology Physician
  • Orange City, FL
  • NPI 1659332732
  Medicare reassignment NPD Authorized official
• William Martin Malone, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1821040619
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215099213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 HARLEY STRICKLAND BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-775-4467",
            "fax_number": "386-775-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 HARLEY STRICKLAND BLVD",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "32763",
            "telephone_number": "386-775-4467",
            "fax_number": "386-775-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P. COLLETTE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLETTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-775-4467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME59513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmundo I Rivera, MD
• Jose Arnaldo Rivera, D.P.M
• Rebecca Rivetto, MA, BCBA
• Rizen Wellness Lounge LLC
• Robert Erdman, D.D.S.,P.a.
• Brooke Alison Roberts
• Judy Jennifer Roberts, DO
• Taylor Roberts
• Charlene Trisha Robertson, M.D
• Emily Robinson, PA-C

• Specialist in Orange City, FL
• Providers in Orange City, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.