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Edita Eligia Collazo
Family Nurse Practitioner in Sunrise, Florida
NPI 1730667015

Edita Eligia Collazo is a Family Nurse Practitioner based in Sunrise, FL and is specialized in Family. Edita Eligia Collazo practices in Sunrise, FL. The NPI Number for Edita Eligia Collazo is 1730667015 and holds a License No. 9395312 (Florida).

The current practice location address for Edita Eligia Collazo is 919 Sw 149Th Ter, Sunrise, FL and can be reached out via phone at 954-397-0689.

Location: 919 Sw 149Th Ter, Sunrise, FL, 33326-1950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730667015
Provider Name
Edita Eligia Collazo
Credential
Provider Entity Type
Individual
Gender
Female
Address
919 Sw 149Th Ter, Sunrise, FL, 33326-1950
Phone Number
954-397-0689
Fax Number
Provider Enumeration Date
07/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
919 Sw 149Th Ter
City
Sunrise
State
Florida
Zip
33326-1950
Phone Number
954-397-0689
Fax Number
person
Provider Business Mailing Address Details
Address
919 Sw 149Th Ter
City
Sunrise
State
Florida
Zip
33326-1950
Phone Number
954-397-0689
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9395312 (Florida)
Definition
Definition to come...
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