Individual
KENNETH COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10013 N FLORIDA AVE, TAMPA, FL 33612-7410
(813) 443-4545
(813) 443-4542
Mailing address
10013 N FLORIDA AVE, TAMPA, FL 33612-7410
(813) 443-4545
(813) 443-4542
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
MM23949
FL
246Z00000X
Other Specialist/Technologist
MM 23949
FL
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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