Individual
MRS. ANA MILENA COLLAZOS MARTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1755 W HIBISCUS BLVD, MELBOURNE, FL 32901
(321) 724-5437
(321) 724-5570
Mailing address
134 S WOODS DR, ROCKLEDGE, FL 32955-3262
(321) 636-3066
(321) 636-2545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A88050
CA
208000000X
Pediatrics Physician
Primary
ME99344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278770900
—
FL
Enumeration date
08/07/2007
Last updated
10/23/2018
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