Provider Demographics
NPI:1902995038
Name:COLLINS, DONALD ALLEN (DO)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ALLEN
Last Name:COLLINS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13020 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-3639
Mailing Address - Country:US
Mailing Address - Phone:727-393-3404
Mailing Address - Fax:727-394-1804
Practice Address - Street 1:3800 E BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-1937
Practice Address - Country:US
Practice Address - Phone:727-393-3404
Practice Address - Fax:727-393-4814
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9891208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice