Provider Demographics
NPI:1285662619
Name:COLLETT, JOHN E (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:COLLETT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:7326 SAWGRASS POINT DR N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-4204
Mailing Address - Country:US
Mailing Address - Phone:727-385-6311
Mailing Address - Fax:
Practice Address - Street 1:1301 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3120
Practice Address - Country:US
Practice Address - Phone:727-584-7706
Practice Address - Fax:727-585-8906
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8425207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E7404YMedicare ID - Type Unspecified
E26040Medicare UPIN