Provider Demographics
NPI:1891771689
Name:COLLIER, DEANNE H (MD)
Entity Type:Individual
Prefix:MS
First Name:DEANNE
Middle Name:H
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 S ALTERNATE A1A
Mailing Address - Street 2:SUITE 1350
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-4112
Mailing Address - Country:US
Mailing Address - Phone:561-575-7546
Mailing Address - Fax:561-575-7510
Practice Address - Street 1:2151 S ALTERNATE A1A
Practice Address - Street 2:SUITE 1350
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-4112
Practice Address - Country:US
Practice Address - Phone:561-575-7546
Practice Address - Fax:561-575-7510
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84514207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H75108Medicare UPIN
FLU8457ZMedicare PIN