Individual provider · Type 1 NPI

John David Collin, MD, DMD

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1124522560 Active

Practice location

653-1 West 8th Street, 2nd Floor Lrc
Jacksonville, FL 32209

Call (904) 244-2000 Map

Fax (904) 244-8054

Mailing address

2054 Riverside Avenue, Apt 4302
Jacksonville, FL 32204

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XTRN27676 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124522560

John David Collin, MD, DMD's National Provider Identifier is 1124522560, issued on Mar 21, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 2, 2018.