Individual
NELIDA E. COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
8961 DANIELS CENTER DR STE 401, FORT MYERS, FL 33912-0314
(239) 433-6700
(239) 433-6703
Mailing address
8961 DANIELS CENTER DR STE 401, FORT MYERS, FL 33912-0314
(239) 433-6700
(239) 433-6703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C425625739610
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C425625739610
DRIVERS LICENSE
FL
Enumeration date
10/25/2012
Last updated
09/15/2014
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