Organization
COLLAZO FERNANDEZ RICHARDS MD'S PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS MANUEL COLLAZO M.D. (PRESIDENT)
(954) 961-9993
Entity
Organization
Contact information
Practice address
1150 N 35TH AVE, SUITE 405, HOLLYWOOD, FL 33021-5424
(954) 961-9993
(954) 961-0163
Mailing address
1150 N 35TH AVE, SUITE 405, HOLLYWOOD, FL 33021-5424
(954) 961-9993
(954) 961-0163
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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