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COLLIER SURGICAL SERVICES LLC
NPI 1417888710
Physician Assistant - Surgical in Jacksonville, FL

Active since May 26, 2026
11629 GWYNFORD LN, JACKSONVILLE, FL 32223(904) 613-7158 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Collier Surgical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLIER SURGICAL SERVICES LLC (NPI 1417888710) is a healthcare organization registered as a surgical in Jacksonville, Florida and active in the NPI registry since May 2026. The organization lists Scott R Collier, First Assistant, as its authorized official.

NPPES Registry Identity

NPI1417888710
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameCOLLIER SURGICAL SERVICES LLC
Location Address11629 GWYNFORD LNJacksonville, FL 32223-7253
Mailing Address11629 Gwynford LnJacksonville, FL 32223-7253 · (904) 613-7158
Phone(904) 613-7158
Organization SubpartNo
Authorized OfficialScott R CollierFirst Assistant · (904) 613-7158
Enumeration DateMay 26, 2026
Last NPPES UpdateMay 27, 2026
NPPES CertifiedMay 27, 2026
✔ NPI 1417888710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
11629 GWYNFORD LN, Jacksonville, FL 32223
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT COLLIER CST/CSFA
Specialist/Technologist, Other (Surgical Assistant)
11629 GWYNFORD LN
JACKSONVILLE, FL 32223
Duval County (904) 613-7158

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collier Surgical Services LLC's NPI number?

The NPI number for Collier Surgical Services LLC is 1417888710. It was assigned to this organization in the NPPES registry on May 26, 2026.

Where is Collier Surgical Services LLC located?

Collier Surgical Services LLC is located at 11629 Gwynford Ln, Jacksonville, FL 32223. The listed phone number is (904) 613-7158.

What is Collier Surgical Services LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Collier Surgical Services LLC was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.