Individual
MATTHEW COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14723 SW 44TH LN, MIAMI, FL 33185-4340
(813) 787-9699
Mailing address
14723 SW 44TH LN, MIAMI, FL 33185-4340
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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