Provider Demographics
NPI:1578909347
Name:COLLMAN, KRISTAMARIE F (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTAMARIE
Middle Name:F
Last Name:COLLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:341 N MAITLAND AVE STE 285
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4761
Mailing Address - Country:US
Mailing Address - Phone:407-205-2994
Mailing Address - Fax:407-550-3794
Practice Address - Street 1:341 N MAITLAND AVE STE 285
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4761
Practice Address - Country:US
Practice Address - Phone:407-205-2994
Practice Address - Fax:407-550-3794
Is Sole Proprietor?:No
Enumeration Date:2013-05-20
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME121353207Q00000X
GA076490207Q00000X
VA0101265105207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine