Individual
ANTONIO COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
7827 N ARMENIA AVE, SUITE # 1, TAMPA, FL 33604-3849
(813) 562-6583
Mailing address
7827 N. ARMENIA AVE., SUITE # 1, TAMPA, FL 33604-7308
(813) 562-6583
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA40061
FL
Other
Enumeration date
01/22/2009
Last updated
05/31/2016
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