Healthcare Provider Details

I. General information

NPI: 1548449028
Provider Name (Legal Business Name): CAROLINE COLLADO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 ARTHUR GODFREY RD STE 408
MIAMI BEACH FL
33140-3343
US

IV. Provider business mailing address

975 ARTHUR GODFREY RD STE 408
MIAMI BEACH FL
33140-3343
US

V. Phone/Fax

Practice location:
  • Phone: 305-672-7337
  • Fax: 305-672-5555
Mailing address:
  • Phone: 305-672-7337
  • Fax: 305-672-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number245628
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME115347
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: