| Mr Reginald Devone Collins, | |
|
6055 Sw 19th Pl, North Lauderdale, FL 33068-4622 | |
| (954) 618-7479 | |
| Not Available |
| Full Name | Mr Reginald Devone Collins |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 6055 Sw 19th Pl, North Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366262644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW23548 (Florida) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Reginald Devone Collins, 6055 Sw 19th Pl, North Lauderdale, FL 33068-4622 Ph: (954) 618-7479 | Mr Reginald Devone Collins, 6055 Sw 19th Pl, North Lauderdale, FL 33068-4622 Ph: (954) 618-7479 |
Ms. Bridgette Dennis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1633 S. State Route 7, North Lauderdale, FL 33068 Phone: 954-462-4489 | |
Ms. Sunshine N/a Jones, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2090 Sw 81st Ave, North Lauderdale, FL 33068 Phone: 954-646-1777 | |
Tania Laguerre, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7707 Sw 7th Ct, North Lauderdale, FL 33068 Phone: 954-657-3338 | |
Angel Emmanuel, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1041 Sw 70th Way, North Lauderdale, FL 33068 Phone: 773-387-1173 |