LUIS COLLAZO

PALMETTO BAY, FL
NPI1689256026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  ARNP11042291)
Enumeration Date2021-04-26
Last Update Date2025-11-05
Business Address
LUIS COLLAZO
9299 SW 152ND ST STE 200
PALMETTO BAY, FL 33157-1776
Phone number: 786-634-1952
Mailing Address
LUIS COLLAZO
6905 NW 77TH ST
TAMARAC, FL 33321-5241
Phone number: 786-300-7704