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1164136255
JENNIFER COLLAZO
TAMPA, FL
NPI
1164136255
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Former Name
JENNIFER TAYLOR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11023520)
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
JENNIFER COLLAZO
13128 N DALE MABRY HWY
TAMPA, FL 33618-2406
Phone number: 813-582-5673
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Mailing Address
JENNIFER COLLAZO
5486 SHASTA DAISY PL
LAND O LAKES, FL 34639-2821
Phone number: 813-325-2335
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