Organization
LOUIS M COLLAZO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA YOLANDA GOMEZ (OFFICE MANAGER)
(305) 777-6828
Entity
Organization
Contact information
Practice address
4308 ALTON RD, 620, MIAMI BEACH, FL 33140-4556
(305) 777-6828
(305) 534-1402
Mailing address
4308 ALTON RD, 620, MIAMI BEACH, FL 33140-4556
(305) 777-6828
(305) 534-1402
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0053487
FL
Other
Enumeration date
05/07/2009
Last updated
05/27/2009
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