Individual
PAOLA D COLLAZOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.O.S
Contact information
Practice address
284 SANTANDER AVE, CORAL GABLES, FL 33134-6720
(917) 294-5777
Mailing address
284 SANTANDER AVE, CORAL GABLES, FL 33134-6720
(191) 729-4577
(718) 779-2070
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
222Q00000X
Developmental Therapist
—
FL
225700000X
Massage Therapist
MA97136
FL
Other
Enumeration date
06/12/2012
Last updated
04/18/2022
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