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Individual

DR. ARIADNA COLLAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
15346 NW 79TH CT, MIAMI LAKES, FL 33016-5850
(305) 821-0502
Mailing address
100 BAYVIEW DR APT 1610, SUNNY ISLES BEACH, FL 33160-4759
(954) 437-8099

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
AL1212
FL
225100000X
Physical Therapist
Primary
PT27007
FL

Other

Enumeration date
03/02/2011
Last updated
09/05/2012
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