Individual
LOUIS MANUEL COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4308 ALTON RD, SUITE 620, MIAMI BEACH, FL 33140-4556
(305) 777-6828
(305) 534-1402
Mailing address
4308 ALTON RD, SUITE 620, MIAMI BEACH, FL 33140-4556
(305) 777-6828
(305) 534-1402
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
ME0053487
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048714799
—
FL
Enumeration date
10/18/2006
Last updated
05/15/2019
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