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1790385029
JAMES EDWARD COLLIE
DAYTONA BEACH, FL
NPI
1790385029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: FL 11009725)
Enumeration Date
2020-10-27
Last Update Date
2020-10-27
Business Address
JAMES EDWARD COLLIE ACNPC-AG
301 MEMORIAL MEDICAL PKWY
DAYTONA BEACH, FL 32117-5167
Phone number: 386-506-6388
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Mailing Address
JAMES EDWARD COLLIE ACNPC-AG
1406 ROYAL GROVE LN
PORT ORANGE, FL 32129-8996
Phone number: 386-506-6388
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