DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHYANNE COLLAZO

MEDICARE: CHYANNE COLLAZO
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
1104100000XSocial Worker
2106S00000XBehavior TechnicianRBT23-282681

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 : 1710647318
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHYANNE COLLAZO
Provider Business Mailing Address
First Line : 10175 FORTUNE PKWY UNIT 802
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6754
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10175 FORTUNE PKWY UNIT 802
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6754
Country : US
Telephone Number : 904-985-5865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2021
Last Update Date : 07/06/2023

Similar Medicare Providers

1447474390 — TEREL S NEWTON MD
Practice Location Address:
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL
32256-6754
Practice Phone: 904-374-0353
Practice Fax: 904-503-0982
1356569461 — MR. MARVIN R WEST P.A.
Practice Location Address:
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL
32256-6754
Practice Phone: 904-374-0353
Practice Fax: 904-503-0982
1154663342 — TOTAL PAIN RELIEF LLC
Practice Location Address:
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL
32256-6754
Practice Phone: 904-374-0353
Practice Fax: 904-503-0982
1356998975 — HAITAO ZHANG MD, P.A.
Practice Location Address:
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL
32256-6754
Practice Phone: 904-718-6929
Practice Fax: 904-201-4057
1194345520 — UNITED PAIN AND SPINE INSTITUTE LLC
Practice Location Address:
10175 FORTUNE PKWY UNIT 803
JACKSONVILLE, FL
32256-6754
Practice Phone: 904-718-6929
Practice Fax: 904-201-4057
1245981620 — SHENISE KEMP
Practice Location Address:
10175 FORTUNE PKWY UNIT 802
JACKSONVILLE, FL
32256-6754
Practice Phone: 904-895-5865
Practice Fax:

Directions to “ CHYANNE COLLAZO ” 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.