Collier Surgical Services LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

COLLIER SURGICAL SERVICES LLC

Practice address

11629 Gwynford LN
Jacksonville, FL 32223-7253

Phone

(904) 613-7158

NPI assigned

May 26, 2026

Last updated

May 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott R Collier, CSFANPI 1568240703

Title

First Assistant

Phone

(904) 613-7158

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Scott Collier, CST/CSFA

  • Surgical Assistant
  • Jacksonville, FL
  • NPI 1568240703
  NPD Authorized official

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1417888710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11629 GWYNFORD LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237253",
            "telephone_number": "904-613-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11629 GWYNFORD LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237253",
            "telephone_number": "904-613-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FIRST ASSISTANT",
        "authorized_official_telephone_number": "904-613-7158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleron Building Inspection Services LLC (CB Inspection Services)
• Riley Quinn Collett
• Bernitta Colley, APRN
• Kate Walker Colley
• Jill Joan Collias-Gray
• Anderson Collier, MD
• Curtivia Collier
• Frank R Collier Jr., M.D.
• Maria Zaneta Collier, LMT
• Scott Collier, CST/CSFA

• Surgical Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.