Individual
MRS. DAISY RODRIGUEZ COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3108 W GIDDENS AVE, TAMPA, FL 33614-6719
(813) 499-4939
Mailing address
3108 W GIDDENS AVE, TAMPA, FL 33614-6719
(813) 499-4939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11007992
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11007992
FL
Other
Enumeration date
07/16/2020
Last updated
05/18/2023
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