Provider Demographics
NPI:1023996816
Name:COLLINS, JULIAH (IDHS)
Entity type:Individual
Prefix:
First Name:JULIAH
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:IDHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USCGC ALERT (WMEC 360)
Mailing Address - Street 2:9235 GROUPER RD
Mailing Address - City:CAPE CANAVERAL
Mailing Address - State:FL
Mailing Address - Zip Code:32920
Mailing Address - Country:US
Mailing Address - Phone:321-868-4200
Mailing Address - Fax:
Practice Address - Street 1:USCGC ALERT (WMEC 360) 9235 GROUPER RD
Practice Address - Street 2:
Practice Address - City:CAPE CANAVERAL
Practice Address - State:FL
Practice Address - Zip Code:32920
Practice Address - Country:US
Practice Address - Phone:321-868-4200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians