1679826721

Everything you always wanted to know about COLLAZO E. NELIDA BA but were afraid to ask.

COLLAZO E. NELIDA BA

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
COLLAZO E. NELIDA BA
Gender:
Female
Enumeration date:
2012-10-25
Last update date:
2014-09-15
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
C425625739610 Other DRIVERS LICENSE FL

Taxonomies

Taxonomy State License Number Primary?
104100000X Social Worker FL C425625739610 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2394336700
Practice Location Address Telephone Number 2394336700
Mailing Address Fax Number 2394336703
Practice Location Address Fax Number 2394336703

Addresses

Type Address City State Postal Country
Mailing Address 8961 DANIELS CENTER DR STE 401 FORT MYERS FL 0 FL
Practice Location Address 8961 DANIELS CENTER DR STE 401 FORT MYERS FL 0 FL

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1417327602 HARO, ANDREA
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1447676945 FILIPI, AGIA
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1508145392 HERNANDEZ, JESSICA
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1548635808 TORRES, OLGA
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Organization
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Other NPI Records that share an address

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1205359908 REYES, MARIA
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8961 DANIELS CENTER DRIVE SUITE 401 FL FORT MYERS
1245696905 STONE, JESSICA
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