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Individual
AXEL COLLAZO
Active
Individual
AXEL COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11000641
FL
363LP2300X
Primary Care Nurse Practitioner
APRN11000641
FL
Other
Enumeration date
12/27/2018
Last updated
02/29/2020
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