Collazzo, Lisa

Collazzo, Lisa is an individual health care provider with primary practice located at 1475 Nw 12Th Ave , Miami FL 33136-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Collazzo, Lisa can be contacted via phone (305) 243-5512.

Contact Information

Primary practice address
1475 Nw 12Th Ave Miami FL 33136-1002
Phone: (305) 243-5512
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD063635L Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME143682 Florida

Profile Details

NPI number 1821083270
LBN Legal business name Collazzo, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jun 2nd, 2026 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821083270 NPPES
Pennsylvania MEDICAID 0175110

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