Terence Roger Collins, MD
Individual provider Active NPI Family Medicine Physician · Yulee, FL
NPI 1720097660 · NPPES record last updated Feb 4, 2013
Key facts
- NPI
- 1720097660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME39441 (FL)
- Practice address
- 86014 Pages Dairy Rd
Yulee, FL 32097-5203 - Phone
- (904) 548-1880
- Fax
- (904) 225-0850
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME39441 | FL | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME39441 | FL | Yes |
Addresses
Primary practice location
86014 Pages Dairy Rd
Yulee, FL 32097-5203
Mailing address
PO Box 517
Fernandina Beach, FL 32035-0517
Phone (904) 548-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271664000 | Medicaid | FL |
Other providers in Yulee, FL
- Emma Colleen Clarke
- Coastal Chiropractic Clinic
- Michaela Cogswell
- Jeremy Latron Coleman
- Brooke Sanders Collins
- Comfortable Care Dental Health Professionals, P.a.
- Comfortable Care Dental Health Professionals. P.a.
- Ebony Conley
- Dennis J. Conlon
- Kimberly Williams Corley
All providers in Yulee, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.