Individual
BEBALINEZ COLLAZO MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5725 JACK BRACK RD, SAINT CLOUD, FL 34771-9235
(407) 301-0393
Mailing address
5725 JACK BRACK RD, SAINT CLOUD, FL 34771-9235
(407) 962-9838
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
FL
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/25/2016
Last updated
05/22/2024
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