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1730667015
EDITA ELIGIA COLLAZO
SUNRISE, FL
NPI
1730667015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9395312)
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
EDITA ELIGIA COLLAZO
919 SW 149TH TER
SUNRISE, FL 33326-1950
Phone number: 954-397-0689
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Mailing Address
EDITA ELIGIA COLLAZO
919 SW 149TH TER
SUNRISE, FL 33326-1950
Phone number: 954-397-0689
Copy
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