Individual provider · Type 1 NPI

Ricardo Collazo

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1790604056 Active

Practice location

3300 S University Dr
Fort Lauderdale, FL 33328-2004

Call (800) 541-6682 Map

Mailing address

2881 SW 73rd Way Apt 2105
Davie, FL 33314-1023

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790604056

Ricardo Collazo's National Provider Identifier is 1790604056, issued on Jul 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 13, 2026.