Individual
FERNANDO COLLADO-MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, DEPARTMENT OF RADIOLOGY (D-1), MIAMI, FL 33136-1002
(305) 243-8820
Mailing address
1475 NW 12TH AVE, DEPARTMENT OF RADIOLOGY (D-1), MIAMI, FL 33136-1002
(305) 243-8820
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME104139
FL
Other
Enumeration date
10/15/2007
Last updated
12/09/2010
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