Individual
PHILIP COLAIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6650 W INDIANTOWN RD, SUITE 110, JUPITER, FL 33458-4628
(561) 575-9876
(561) 575-2858
Mailing address
6650 W INDIANTOWN RD, SUITE 110, JUPITER, FL 33458-4628
(561) 575-9876
(561) 575-2858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME51934
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047437100
—
FL
01
—
11832
BCBS
FL
Enumeration date
07/12/2006
Last updated
02/28/2018
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