GEORGE N COLLIS


Address: 1223 Gateway Dr, Suite 2b, Melbourne, FL 32901-2607
Phone: 3217254500

GEORGE N COLLIS (NPI# 1134367964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134367964
Entity Type Individual
Full Name GEORGE N COLLIS
Credential MD
Practice Address 1223 Gateway Dr
Suite 2b
Melbourne
FL 32901-2607
Mailing Address 3300 S Fiske Blvd
Rockledge
FL 32955-4306
Practice Telephone 3217254500
Practice Fax Number 3216769731
Mailing Telephone 3217254500
Mailing Fax Number 3219517408
Enumeration Date 2009-02-02
Last Update Date 2018-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
ME102568 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE IF391Y 01
FL MEDICARE IF391Z 01
FL 015353800 05

Other Providers GEORGE COLLIS

NPI Name Taxonomy Address Enumeration
1770529356 George Christ Collis Dentist 6110 California Road, Brownsville, TX 78521 2006-06-21

Office Location

Street Address 1223 GATEWAY DR
SUITE 2B
City MELBOURNE
State FL
Zip Code 32901-2607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376537373 Rajiv Bhambri Internal Medicine 1223 Gateway Dr, Melbourne, FL 32901 2005-09-06
1538727300 Barbara Litt Registered Nurse 1223 Gateway Dr, Melbourne, FL 32901-2607 2019-06-05
1194383034 Lara Sexton Anzalone Registered Nurse 1223 Gateway Dr, Melbourne, FL 32901-2607 2019-06-05
1184101883 Amber Elmore Nurse Practitioner 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-07-25
1649765843 Health First Medical Group, LLC Internal Medicine 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-06-29
1134613847 Sara Gaffney Audiologist 1223 Gateway Dr, Melbourne, FL 32901-2607 2018-06-16
1134673049 Karen Bransky Nurse Practitioner 1223 Gateway Dr, Suite G, Melbourne, FL 32901-2607 2016-08-09
1598113755 Jason Dickey Pharmacist 1223 Gateway Dr, Melbourne, FL 32901-2607 2016-05-28
1598129397 Danielle L Dillon Gannon Nurse Practitioner 1223 Gateway Dr, Suite E, Melbourne, FL 32901-2607 2016-04-07
1619374436 Holmes Regional Medical Center, Inc. Pharmacy 1223 Gateway Dr, Melbourne, FL 32901-2607 2014-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093834954 Victoria Vitale-lewis Surgery 504 4th Ave, Melbourne, FL 32951-2545 2007-03-29
1497996946 Rebecca Cissell Novo Surgery 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 2009-03-12
1407978703 Amy M Simon Surgery 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 2007-04-06
1861448318 Lee G Theophelis Surgery 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 2006-05-26
1164474276 Health First Physicians, Inc Surgery 1223 Gateway Dr, Melbourne, FL 32901-2607 2006-05-17
1881658144 Mauricio Jose Castellon Surgery 1499 S Harbor City Blvd, Ste 301, Melbourne, FL 32901 2006-04-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568025419 Reinventme, LLC Surgery 13696 N Us Highway 441 Ste 100, Lady Lake, FL 32159-6815 2019-04-17
1750854378 David Gerth Md Pa Surgery 4308 Alton Rd Ste 940, Miami Beach, FL 33140-4560 2019-01-07
1588165773 Deepak Naidu Md, Pa Surgery 201 E Kennedy Blvd Ste 410, Tampa, FL 33602-3641 2018-02-23
1194225599 Joseph Charles Gallagher Jr. Surgery 9201 Midnight Pass Rd, Sarasota, FL 34242-2921 2018-02-13
1043729569 Renee Gasgarth, M.d. P.a. Surgery 7300 Sw 62nd Pl Ste 200, South Miami, FL 33143-4800 2017-09-27
1184150625 Pamela Loftus Surgery 4454 Woodfield Blvd, Boca Raton, FL 33434-5310 2017-05-03
1356898324 Waters Edge Dermatology Global LLC Surgery 2601 S Kanner Highway, Stuart, FL 34994 2016-09-07
1629482096 Jill Swindell Surgery 1921 Waldemere St Ste 801, Sarasota, FL 34239-2913 2014-06-13
1205274784 Melanie L Aya-ay Md Plastic Surgery Pl Surgery 17523 N Dale Mabry Hwy, Lutz, FL 33548-4521 2013-06-06
1790123487 Jason Crespo Surgery 1250 Pine Ridge Rd Ste 101c, Naples, FL 34108-8913 2013-06-05
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Competitor

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City MELBOURNE
Zip Code 32901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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