Individual
ALEXA MARIE COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD STE 4102, GAINESVILLE, FL 32610-3003
(352) 265-0239
(352) 265-1107
Mailing address
PO BOX 100265, GAINESVILLE, FL 32610-0265
(352) 265-0239
(352) 265-1107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
U2180
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
08/18/2023
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