JENNIFER COLLAZO

TAMPA, FL
NPI1164136255
Former NameJENNIFER TAYLOR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11023520)
Enumeration Date2023-01-12
Last Update Date2023-01-12
Business Address
JENNIFER COLLAZO
13128 N DALE MABRY HWY
TAMPA, FL 33618-2406
Phone number: 813-582-5673
Mailing Address
JENNIFER COLLAZO
5486 SHASTA DAISY PL
LAND O LAKES, FL 34639-2821
Phone number: 813-325-2335