Individual
MS. ALEJANDRA COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
680 W PARK DR, APT 105, MIAMI, FL 33172-5354
(305) 594-4421
(305) 594-4644
Mailing address
680 WEST PARK DRIVE, APT 105, MIAMI, FL 33172
(305) 594-4421
(305) 594-4644
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
PENDING
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1246889942153
PALS
FL
Enumeration date
10/07/2010
Last updated
10/07/2010
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