Collazo, Leonor E.
Collazo, Leonor E. is an sole proprietor health care provider with primary practice located at 1650 Medical Lane Ste 4 , Fort Myers FL 33907-1119. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Collazo, Leonor E. can be contacted via phone (239) 334-6160.Contact Information
Primary practice address
1650 Medical Lane Ste 4
Fort Myers FL 33907-1119
Phone: (239) 334-6160
Fax: (239) 334-1339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | Florida | |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | Florida | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1912314832 |
|---|---|
| LBN Legal business name | Collazo, Leonor E. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2014 |
| Last updated | May 12th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912314832 | NPPES |
| Other | 222Q00000X | EARLY INTERVENTION | |
| MEDICAID | 023180200 | EARLY INTERVENTION | |
| Other | 222Q00000X | EARLY INTERVENTION | |
| MEDICAID | 222Q00000X | EARLY INTERVENTION |
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