Individual
JUAN C COLLAZOS-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1410 ROYAL PALM BEACH BLVD, ROYAL PALM BEACH, FL 33411-1608
(561) 777-5246
(561) 484-5752
Mailing address
4695 MANDERLY DR, WELLINGTON, FL 33449-7406
(702) 756-9994
(561) 484-5752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME131002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215199294
—
NV
Enumeration date
06/30/2008
Last updated
05/02/2021
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