Collazo, Louis Manuel

Collazo, Louis Manuel is an individual health care provider with primary practice located at 4308 Alton Rd Suite 620, Miami Beach FL 33140-4556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Collazo, Louis Manuel can be contacted via phone (305) 777-6828.

Contact Information

Primary practice address
4308 Alton Rd Suite 620 Miami Beach FL 33140-4556
Phone: (305) 777-6828
Fax: (305) 534-1402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X ME0053487 Florida

Profile Details

NPI number 1700967650
LBN Legal business name Collazo, Louis Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated May 15th, 2019 - about 5 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 1700967650 NPPES
Florida MEDICAID 048714799

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