Arzola Collazo, Fernando Jose

Arzola Collazo, Fernando Jose is an sole proprietor health care provider with primary practice located at 2624 Atlantic Blvd , Jacksonville FL 32207-3668. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Arzola Collazo, Fernando Jose can be contacted via phone (904) 513-3240.

Contact Information

Primary practice address
2624 Atlantic Blvd Jacksonville FL 32207-3668
Phone: (904) 513-3240
Fax: (904) 379-2911
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14074 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN552 Florida

Profile Details

NPI number 1225135346
LBN Legal business name Arzola Collazo, Fernando Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Dec 5th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225135346 NPPES
Florida MEDICAID 016868600

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