Individual
MRS. STEPHANIE MARIE COLLADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2080 OAKLEY SEAVER DR STE 120&130, CLERMONT, FL 34711-1962
(321) 841-6444
(407) 650-1307
Mailing address
2080 OAKLEY SEAVER DR STE 120&130, CLERMONT, FL 34711-1962
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
FL
363AM0700X
Medical Physician Assistant
Primary
PA9115127
FL
Other
Enumeration date
09/13/2021
Last updated
10/29/2024
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