Look up the most recent NPI and PECOS records

Sergio Collazo

General Practice

Allopathic & Osteopathic Physicians

2931 W Hillsborough Ave, Tampa, FL 33614-6054

PECOS Enrollment

Based on the most recent information from CMS, provider Sergio Collazo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1619531027
Provider Type
Individual
Full Name
Collazo, Sergio
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/1/2019
Last Updated
8/13/2019

Contact Information

Practice Location

2931 W Hillsborough Ave, Tampa, FL 33614-6054

(813) 930-0930

(813) 930-0950

Mailing Location

2931 W Hillsborough Ave, Tampa, FL 33614-6054

(813) 930-0930

(813) 930-0950

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License ACN1172 Florida

Sergio Collazo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Anderson, Cheryl Deboer

Fernandez, Alfredo J

Renaissance Medical Center Corp

Morris, Robert John

Wound Pros Florida

Maga Medical Center Corp

Cruz Repollet, Ivan Ariel

Morejon Guedes, Lucilo Alexi

Wunsch, Louise Johnson

Acosta Hernandez, Daris A