Individual
MR. AURELIO J COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
4000 SW 57TH AVE, SOUTH MIAMI, FL 33155-5318
(305) 666-8581
(305) 661-9653
Mailing address
4000 SW 57TH AVE, MIAMI, FL 33155-5318
(305) 666-0057
(305) 661-9653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS17897
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS17897
FLORIDA DEPT OF HEALTH
FL
Enumeration date
11/04/2005
Last updated
03/20/2008
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