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Organization

ENDOCRINE HEALTH AND WELLNESS OF SOUTH FLORIDA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA MARIA COLLIER D.O. (OWNER)
(305) 951-2152
Entity
Organization

Contact information

Practice address
12060 SW 129TH CT STE 205, MIAMI, FL 33186-4582
(786) 592-2744
(949) 404-6517
Mailing address
14720 JACKSON ST, MIAMI, FL 33176-7450
(305) 951-2152

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
261QM2500X
Medical Specialty Clinic/Center
OS11351
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006303500
FL
01
1205123742
NPI NUMBER
FL
Enumeration date
11/02/2016
Last updated
05/05/2020
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