Provider Demographics
NPI:1275547697
Name:COLLINS, ROBERT MEEHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MEEHAN
Last Name:COLLINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 TURNBERRY DRIVE
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462
Mailing Address - Country:US
Mailing Address - Phone:561-967-6919
Mailing Address - Fax:
Practice Address - Street 1:1630 S CONGRESS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-2171
Practice Address - Country:US
Practice Address - Phone:561-472-2888
Practice Address - Fax:561-472-2889
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31467207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL50823AMedicare ID - Type Unspecified
D62714Medicare UPIN