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Individual

DR. JUAN A ROSARIO-COLLAZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4479 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4716
(904) 731-8300
(904) 737-7901
Mailing address
4479 BAYMEADOWS RD, JACKSONVILLE, FL 32217-4716
(904) 731-8300
(904) 737-7901

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME-89551
FL
207R00000X
Internal Medicine Physician
ME-89551
FL

Other

Enumeration date
01/25/2006
Last updated
10/22/2007
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