Individual
RAMON COLLADO SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
1304 SW 136TH PL, MIAMI, FL 33184-1814
(786) 955-4143
Mailing address
1304 SW 136TH PL, MIAMI, FL 33184-1814
(786) 955-4143
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
16-415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-415
SA-C
FL
Enumeration date
08/01/2016
Last updated
08/01/2016
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