Robert Patrick Collette (NPI# 1659332732, PAC ID# 3476625179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1659332732 |
| PAC ID by PECOS | 3476625179 |
| Professional Enrollment ID | I20100922001206 |
| Full Name | Robert Patrick Collette |
| Address |
763 Harley Strickland Blvd Orange City FL 32763-7962 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | OTOLARYNGOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100045 | FLORIDA HOSPITAL DELAND |
| 100006 | ORLANDO HEALTH |
| 100007 | FLORIDA HOSPITAL |
| 100072 | FLORIDA HOSPITAL FISH MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 763 Harley Strickland Blvd, Orange City, FL 32763-7962 | ||
| 100 W Gore St, Suite 600, Orlando, FL 32806-1051 | 4072997333 | MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. |
| Street Address |
763 HARLEY STRICKLAND BLVD |
| City | ORANGE CITY |
| State | FL |
| Zip | 32763-7962 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Simpson Sullenberger | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Kevin Bruce Brantley | Optometry | Coastal Eye Associates Inc. | 2400 Veterans Memorial Pkwy, Orange City, FL 32763-1700 |
| Angela Marie Moodie | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Paul Bond | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Nakesha R Miller | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Elaine L Lawless | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Sherri A Ferguson | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Mary Frances Riggins | Nurse Practitioner | Home Docs | 341 W Minnesota Ave, Orange City, FL 32763-2205 |
| Traci Lynn Zimmer | Nurse Practitioner | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Raymond De Castro | Psychiatry | Primary Care of Orange City LLC | 135 E Minnesota Ave, Orange City, FL 32763-2312 |
| Find all physicians in zip 32763 | |||
| City | ORANGE CITY |
| Zip Code | 32763 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | ORANGE CITY + OTOLARYNGOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.