Individual
SERGIO COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2931 W HILLSBOROUGH AVE, TAMPA, FL 33614-6054
(813) 930-0930
(813) 930-0950
Mailing address
2931 W HILLSBOROUGH AVE, TAMPA, FL 33614-6054
(813) 930-0930
(813) 930-0950
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1172
FL
Other
Enumeration date
05/01/2019
Last updated
08/13/2019
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