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NPI Code Detail

MEDICARE: DR. ARMANDO JAMES COLLAZO MD

MEDICARE: DR. ARMANDO JAMES COLLAZO MD
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
1207V00000XObstetrics & Gynecology PhysicianACN1057FL
2207V00000XObstetrics & Gynecology Physician6554PR
3207Q00000XFamily Medicine PhysicianME146327FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598736555
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARMANDO JAMES COLLAZO MD
Provider Business Mailing Address
First Line : 2330 S CONGRESS AVE
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-7608
Country : US
Telephone Number : 561-432-5849
Fax Number : 561-432-9732
Provider Business Practice Location Address
First Line : 2330 S CONGRESS AVE
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-7608
Country : US
Telephone Number : 561-432-5849
Fax Number : 561-432-9732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 09/17/2020

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