Individual
LUIS COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9299 SW 152ND ST STE 200, PALMETTO BAY, FL 33157-1776
(786) 634-1952
Mailing address
6905 NW 77TH ST, TAMARAC, FL 33321-5241
(786) 300-7704
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP11042291
FL
Other
Enumeration date
04/26/2021
Last updated
11/05/2025
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