Organization
PHILIP COLAIZZO M.D., P.A.
Active
Other names
Pahokee Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP COLAIZZO MD (OWNER)
(561) 575-9876
Entity
Organization
Contact information
Practice address
170 S BARFIELD HWY, SUITE 108, PAHOKEE, FL 33476-1876
(561) 924-5155
(561) 924-7723
Mailing address
6650 W INDIANTOWN RD, SUITE 110, JUPITER, FL 33458-4628
(561) 575-9876
(561) 575-2858
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102625100
—
FL
05
—
102625101
—
FL
01
—
45348
BCBS
FL
Enumeration date
07/12/2006
Last updated
12/06/2022
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