Individual
ALEXANDER ANDRE COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36440 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1330
(727) 786-0696
(727) 669-9742
Mailing address
3251 N MCMULLEN BOOTH RD STE 303, CLEARWATER, FL 33761-2022
(727) 725-6110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS19753
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2020
Last updated
03/25/2026
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