Individual
LILIALIS COLLAZO YAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2906 17TH ST, SAINT CLOUD, FL 34769-6006
(321) 841-7856
(321) 843-6432
Mailing address
2906 17TH ST, SAINT CLOUD, FL 34769-6006
(321) 841-7856
(321) 843-6432
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11011670
FL
363LF0000X
Family Nurse Practitioner
11011670
FL
Other
Enumeration date
04/14/2021
Last updated
09/09/2025
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