Marie M Collazo (NPI# 1346640356, PAC ID# 3476863994) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346640356 |
| PAC ID by PECOS | 3476863994 |
| Professional Enrollment ID | I20151112000504 |
| Full Name | Marie M Collazo |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Address |
3701 Avalon Park W Blvd Suite 205 Orlando FL 32828-4809 |
| Phone Number | 4073060982 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0749186153 |
| Number of Group Practice Members | 823 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3701 Avalon Park W Blvd, Suite 205, Orlando, FL 32828-4809 | 4073060982 | FLORIDA HOSPITAL MEDICAL GROUP INC |
| 2355 Truman Scarborough Way, Palm Point Behavioral Health, Titusville, FL 32796-1310 | 3216036550 | MOORE MEDICAL GROUP INC |
| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Physicians | 1050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Kay Kaufmann | Certified Nurse Midwife (cnm) | Florida Hospital Medical Group Inc | 235 E Princeton St, Suite 200, Orlando, FL 32804-5555 |
| Jonathan Lucking | Colorectal Surgery (proctology) | Florida Hospital Medical Group Inc | 2415 Norange Ave, Suite 300, Orlando, FL 32804 |
| Amanda Nadeau | Family Medicine | Florida Hospital Medical Group Inc | 2000 Fowler Grove Blvd, Fl 3, Winter Garden, FL 34787-5050 |
| Amber Shepard | Family Medicine | Florida Hospital Medical Group Inc | 1255 State Rd 60, Suite 500, Lake Wales, FL 33853-4302 |
| Jason Smith | General Surgery | Florida Hospital Medical Group Inc | 1290 Waterman Way, Tavares, FL 32778-5229 |
| Buck Andreu Scott | General Surgery | Florida Hospital Medical Group Inc | 407 S 11th St, Lake Wales, FL 33853-4243 |
| Mitchell Machado | Medical Oncology | Florida Hospital Medical Group Inc | 7975 Lake Underhill Rd, Suite 220b, Orlando, FL 32822-8202 |
| Lennie Calderon | Nurse Practitioner | Florida Hospital Medical Group Inc | 1300 W Oak St, Kissimmee, FL 34741-4024 |
| Devlin H O'connor | Family Medicine | Florida Hospital Medical Group Inc | 3330 Waterman Way, Tavares, FL 32778-5250 |
| Tutu Cheng | Plastic and Reconstructive Surgery | Florida Hospital Medical Group Inc | 410 Lionel Way, Suite 204, Davenport, FL 33837-7809 |
| Street Address |
3701 AVALON PARK W BLVD SUITE 205 |
| City | ORLANDO |
| State | FL |
| Zip | 32828-4809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernice A Pritchett | Family Medicine | Florida Hospital Medical Group Inc | 3701 Avalon Park W Blvd, Suite 205, Orlando, FL 32828-4809 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ann J Adams | Psychologist, Clinical | 422 S Alafaya Trail, Suite 17, Orlando, FL 32828 | |
| Katrina Emilia Noboa | Nurse Practitioner | Florida Hospital Medical Group Inc | 250 N Alafaya Trl, Suite 100, Orlando, FL 32828-4316 |
| Ramchandra Siram | Family Medicine | Florida Hospital Medical Group Inc | 250 N Alafaya Trl, Suite 100, Orlando, FL 32828-4316 |
| Amber M Shane | Podiatry | Orlando Foot and Ankle Clinic Inc | 250 N Alafaya Trl, Suite 115, Orlando, FL 32828-4336 |
| Peter T Buffington | Physical Therapy | Orlando Sports Medicine Group Inc | 12780 Waterford Lakes Pkwy, Suite 115, Orlando, FL 32828-4501 |
| Christian Ap Kovats | Family Medicine | Physician Associates LLC | 12780 Waterford Lakes Pkwy, Suite 135, Orlando, FL 32828-4501 |
| Martin Soto | Family Medicine | Physician Associates LLC | 12780 Waterford Lakes Pkwy, Suite 120, Orlando, FL 32828-4501 |
| Brittany A Kilduff | Physical Therapy | Orlando Sports Medicine Group Inc | 12780 Waterford Lakes Pkwy, Suite 115, Orlando, FL 32828-4501 |
| Eric D Greeno | Physical Therapy | Orlando Sports Medicine Group Inc | 12780 Waterford Lakes Pkwy, Suite 115, Orlando, FL 32828-4501 |
| Kenneth John G Lim | Family Medicine | Physician Associates LLC | 12780 Waterford Lakes Pkwy, Suite 120, Orlando, FL 32828-4501 |
| Find all physicians in zip 32828 | |||
| City | ORLANDO |
| Zip Code | 32828 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ORLANDO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marie M Collazo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.