Provider Demographics
NPI:1225048382
Name:PICK, COLLIN CHRISTOPHER (CRNA)
Entity Type:Individual
Prefix:MR
First Name:COLLIN
Middle Name:CHRISTOPHER
Last Name:PICK
Suffix:
Gender:M
Credentials:CRNA
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Other - First Name:
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Mailing Address - Street 1:3001 N ROCKY POINT DR E
Mailing Address - Street 2:SUITE 185
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-5810
Mailing Address - Country:US
Mailing Address - Phone:813-289-9613
Mailing Address - Fax:813-289-9619
Practice Address - Street 1:3001 N ROCKY POINT DR E
Practice Address - Street 2:SUITE 185
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-5810
Practice Address - Country:US
Practice Address - Phone:813-289-9613
Practice Address - Fax:813-289-9619
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9174213367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG2814Medicare UPIN