MEDICARE: MS. JACQUELINE COLLAZOS MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	25710	FL

General Provider Information

NPI Number	:	1407088115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JACQUELINE COLLAZOS MA

Provider Business Mailing Address
First Line	:	4531 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6611
Country	:	US
Telephone Number	:	954-294-4014
Fax Number	:

Provider Business Practice Location Address
First Line	:	4531 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6611
Country	:	US
Telephone Number	:	954-294-4014
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	08/13/2009

Similar Medicare Providers

1619977535 — MAX DRUGS INC
Practice Location Address:

4519 HOLLYWOOD BLVD
HOLLYWOOD, FL
33021-6611

Practice Phone: 954-987-4125
Practice Fax: 954-987-4089

1154445864 — ALL ABOUT WHEELCHAIRS SCOOTERS AND LIFTS, INC.
Practice Location Address:

4535 HOLLYWOOD BLVD
HOLLYWOOD, FL
33021-6611

Practice Phone: 954-965-3653
Practice Fax: 954-965-3648

1114041894 — MR. MICHAEL GREENE
Practice Location Address:

4535 HOLLYWOOD BLVD
HOLLYWOOD, FL
33021-6611

Practice Phone: 954-965-3653
Practice Fax: 954-965-3648

1609102532 — AAA WHEELCHAIRS AND SUPPLIES
Practice Location Address:

4535 HOLLYWOOD BLVD
HOLLYWOOD, FL
33021-6611

Practice Phone: 954-965-3653
Practice Fax: 954-965-3648

1144523028 — MR. RICHARD J KRAMER P.T
Practice Location Address:

4533 HOLLYWOOD BLVD
HOLLYWOOD, FL
33021-6611

Practice Phone: 954-342-1177
Practice Fax: 954-510-0138

1023312535 — PROSTAR PHYSICAL THERAPY, LLC
Practice Location Address:

4533 HOLLYWOOD BLVD
HOLLYWOOD, FL
33021-6611

Practice Phone: 954-342-1177
Practice Fax: 954-510-0138

Directions to “ MS. JACQUELINE COLLAZOS MA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.