Individual
DR. CARLOS COLLAZO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1102 N 15TH ST, IMMOKALEE, FL 34142-2813
(239) 657-3188
Mailing address
1102 N 15TH ST, IMMOKALEE, FL 34142-2813
(239) 657-3188
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS50952
FL
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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