Individual
GINA R COLAIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 NE MIAMI GARDENS DR, NORTH MIAMI BEACH, FL 33179-4900
(305) 940-6016
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
L1-0046109
DE
363LP0200X
Pediatric Nurse Practitioner
Primary
11021270
FL
363LP0200X
Pediatric Nurse Practitioner
26NJ00714700
NJ
363LP0200X
Pediatric Nurse Practitioner
LJ-0000322
DE
363LP0200X
Pediatric Nurse Practitioner
SP017149
PA
Other
Enumeration date
02/11/2017
Last updated
02/03/2025
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