| Juan C Collazos-rodriguez, MD | |
|
1410 Royal Palm Beach Blvd, Royal Palm Beach, FL 33411-1608 | |
| (561) 777-5246 | |
| (561) 484-5752 |
| Full Name | Juan C Collazos-rodriguez |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1410 Royal Palm Beach Blvd, Royal Palm Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215199294 | NPI | - | NPPES |
| 1215199294 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME131002 (Florida) | Primary |
| Entity Name | Vitalmd Group Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan C Collazos-rodriguez, MD 4695 Manderly Dr, Wellington, FL 33449-7406 Ph: (702) 756-9994 | Juan C Collazos-rodriguez, MD 1410 Royal Palm Beach Blvd, Royal Palm Beach, FL 33411-1608 Ph: (561) 777-5246 |
Odinakachi O Nwankwo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1015 N State Road 7 Ste D, Royal Palm Beach, FL 33411 Phone: 561-798-9417 Fax: 561-798-9419 | |
Cynthia Mary Olson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1015 N State Road 7 Ste D, Royal Palm Beach, FL 33411 Phone: 561-798-9417 Fax: 561-798-9419 | |
James Rodriguez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1015 N State Road 7 Ste D, Royal Palm Beach, FL 33411 Phone: 561-798-9417 Fax: 561-798-9419 | |
Renay Walker Chung, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11903 Southern Blvd Ste 118, Royal Palm Beach, FL 33411 Phone: 561-429-5898 | |
Mrs. Gomathy Mohan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11903 Southern Blvd, Ste 118, Royal Palm Beach, FL 33411 Phone: 561-429-5898 Fax: 561-429-5897 | |
Alexandra E Ramos-garcia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1017 N State Road 7 Ste D, Royal Palm Beach, FL 33411 Phone: 561-798-9417 Fax: 561-798-9419 |