Individual
MRS. LEONOR E. COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1422 OAK AVE, LEHIGH ACRES, FL 33972-8739
(239) 848-8220
Mailing address
P.O. BOX 51319, FORT MYERS, FL 33994-1116
(239) 334-6160
(239) 334-1339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
FL
104100000X
Social Worker
—
—
222Q00000X
Developmental Therapist
—
FL
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023180200
—
FL
01
—
222Q00000X
EI
FL
01
—
222Q00000X
EARLY INTERVENTION
—
05
—
222Q00000X
—
FL
Enumeration date
07/14/2014
Last updated
10/03/2025
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