Individual
LUIS A MELENDEZ-COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 778-0444
(813) 355-5084
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME93592
FL
208M00000X
Hospitalist Physician
Primary
ME93592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274595000
—
FL
01
—
P01056129
RR MEDICARE
FL
Enumeration date
02/08/2006
Last updated
07/07/2017
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