Individual
JENNIFER COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12030 SW 129TH CT STE 211, MIAMI, FL 33186-4584
(305) 639-8760
(786) 953-5144
Mailing address
14921 SW 283RD ST APT 206, HOMESTEAD, FL 33033-1584
(305) 731-0317
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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