MR. LARRY H. COLLINS (NPI# 1679579056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679579056 |
| Entity Type | Individual |
| Full Name | MR. LARRY H. COLLINS |
| Credential | PA-C |
| Practice Address |
13330 Usf Laurel Dr Tampa FL 33612-6601 |
| Mailing Address |
Po Box 917770 Orlando FL 32891-7770 |
| Practice Telephone | 8133969422 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2366 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 290100500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730214982 | Larry E Collins | Marriage & Family Therapist | 5 Williamsburg Ln, Chico, CA 95926-2225 | 2007-02-21 |
| 1134511637 | Larry Collins Jr. | Pharmacist | 120 N Highway 171, Moss Bluff, LA 70611-5343 | 2015-02-21 |
| 1164491924 | Larry L Collins | Internal Medicine | 6250 Old Canton Rd, Suite 100, Jackson, MS 39211-2946 | 2006-03-15 |
| 1255339941 | Larry Coy Collins | Radiology | 2370 N Ocoee St, Cleveland, TN 37311-3850 | 2005-07-07 |
| Street Address |
13330 USF LAUREL DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195075 | Andrew J Baxter | Physical Therapy Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-08-18 |
| 1104445147 | Levon Leo Ohanisian | Student in an Organized Health Care Education/Training Program | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-04-09 |
| 1497383244 | Charles Max Seifer | Student in an Organized Health Care Education/Training Program | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2020-03-28 |
| 1114569431 | Donna P. Ortiz | Nurse Practitioner | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-10-09 |
| 1417503269 | Ahlam Abukhdeir | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-08-16 |
| 1326694357 | Abbey Rose Liebert | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-08-15 |
| 1003469412 | Ashley Brooke Austin Johnson | Nurse Practitioner | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-07-24 |
| 1497317440 | Mackenzie Garreth | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-06-30 |
| 1477116952 | Kevin Garrett Allison | Physician Assistant | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2019-04-19 |
| 1649751983 | Mason Staggs | Physical Therapist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2018-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762046 | Samantha Martin | Physician Assistant | 12950 Race Track Rd Ste 106, Tampa, FL 33626-1304 | 2020-05-28 |
| 1124648159 | Christian Otero | Physician Assistant | 311 W Palm Ave, Tampa, FL 33602-2029 | 2020-04-20 |
| 1487219036 | Vanessa Natasha White | Physician Assistant | 10205 W Hillsborough Ave Ste B, Tampa, FL 33615-3671 | 2019-05-08 |
| 1518520873 | Zachary Luke Ulshafer | Physician Assistant | 12901 Bruce B Downs Blvd # 05, Tampa, FL 33612-4742 | 2019-04-22 |
| 1548756893 | Christopher Jacob Bordelon | Physician Assistant | 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL 33607-6302 | 2018-07-10 |
| 1871033340 | Amanda Lins Chissell | Physician Assistant | 13801 Bruce B Downs Blvd Ste 231, Tampa, FL 33613-3946 | 2017-03-03 |
| 1669839767 | Barbara N Vargas | Physician Assistant | 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618-2809 | 2016-01-20 |
| 1215305776 | Amber Lubas | Physician Assistant | 401 N Rome Ave, Apt: 4314, Tampa, FL 33606-0009 | 2015-09-14 |
| 1972988467 | Karla Michelle Mincone | Physician Assistant | 3040 W Cypress St # 103, Tampa, FL 33609-1615 | 2015-07-25 |
| 1326441767 | Brigett Brandjes | Physician Assistant | 2902 Usf Magnolia Drive, Tampa, FL 33612 | 2014-09-30 |
| Find all providers in TAMPA | ||||
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| 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.