Provider Demographics
NPI:1801882394
Name:COLLINS, MICHAEL J JR (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:COLLINS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:6900 INTERNATIONAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-7151
Mailing Address - Country:US
Mailing Address - Phone:239-936-4706
Mailing Address - Fax:239-225-6775
Practice Address - Street 1:6900 INTERNATIONAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-7151
Practice Address - Country:US
Practice Address - Phone:239-936-4706
Practice Address - Fax:239-225-6775
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2014-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME82860207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL03319XMedicare PIN
P00157515Medicare PIN
FLH29922Medicare UPIN