Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME69991 | FL |
NPI | 1427011741 |
---|---|
Provider Name | Dr. Frank R Collier JR. |
First Address | Jacksonville, FL 32216-8066 |
Second Address | Jacksonville, FL 32204-4712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2006 |
Last Update Date | 20/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
51833 | BCBS (01) | FL |
F82899 | (02) | FL |