Provider Demographics
NPI:1851385165
Name:LOCKWOOD COLLIER, CINDY K (ARNP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:K
Last Name:LOCKWOOD COLLIER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1948 MARTINA ST
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-1558
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:411 WEBSTER ST
Practice Address - Street 2:RURAL MEDICAL ASSOC. INC
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-4036
Practice Address - Country:US
Practice Address - Phone:352-799-5411
Practice Address - Fax:352-544-2713
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1570975363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304240500Medicaid
P43251Medicare UPIN
E6445Medicare ID - Type Unspecified