Doctor Name: | ALAN STEVEN COLLIN |
NPI Number: | 1003855255 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0028942 |
Business Practice Address: | 1871 Se Tiffany Ave Suite 100 Port St Lucie, FL - 349527585 |
Business Phone Number: | 7723355666 |
Business Fax Number: | 7723354826 |
Mailing Address: | 1871 Se Tiffany Ave, Suite 100 PORT ST LUCIE |
State: | FL |
Postal Code: | 349527585 |
Phone Number: | 7723355666 |
Fax Number: | 7723354826 |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 06/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RH0003X |
License Number: | 0028942 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Hematology & Oncology |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |