Individual
ENID COLLADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12606 GENEVA GLADE DR, RIVERVIEW, FL 33578-7603
(813) 418-9232
Mailing address
12606 GENEVA GLADE DR, RIVERVIEW, FL 33578-7603
(813) 418-9232
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9281097
FL
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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