Active NPI
Calvin Collins Jr., M.D.
- Medical Oncology Physician
- Orlando, FL
National Provider Identifier
1790115681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME13944
- Practice address
- 4403 Vineland Rd
Suite B5
Orlando, FL 32811 - Phone
- (407) 682-8392
- NPI assigned
- Nov 14, 2013
- Last updated
- Nov 14, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | ME13944 | FL | Primary |
Addresses
Primary practice location
4403 Vineland Rd
Suite B5
Orlando, FL 32811
Mailing address
PO Box 150249
Altamonte Springs, FL 32715-0249
Phone (407) 682-8392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME13944 | FL | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1790115681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 150249",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327150249",
"telephone_number": "407-682-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 VINELAND RD",
"address_2": "SUITE B5",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32811",
"telephone_number": "407-682-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "CALVIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-14",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME13944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.