Sylvia Collazo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN456 Issued in FL

Practice address

833 E Oak St
Kissimmee, FL 34744-5838

Phone

(407) 350-3373

Fax

(407) 910-4740

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Genesis Family Practice, LLC

  • Family Medicine Physician
  • Orange City, FL
  • NPI 1023369204
  Medicare reassignment NPD
• Genesis Family Practice LLC

  • General Practice Physician
  • Ormond Beach, FL
  • NPI 1447799242
  NPD
• Prompt Care of Central Florida LLC

  • Urgent Care Clinic/Center
  • Orange City, FL
  • NPI 1518280809
  NPD
• Serv Emerg del Noroeste

  • Multi-Specialty Clinic/Center
  • Aguada, PR
  • NPI 1558468876
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1063435592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 ACADEMY CIR E APT 107",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347448510",
            "telephone_number": "787-648-6653",
            "fax_number": "407-910-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445838",
            "telephone_number": "407-350-3373",
            "fax_number": "407-910-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "SYLVIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN456",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nalleli Collado
• Augusto Ingkong Collantes, RN
• Yurian Collazo Velazco
• Marisol Collazo
• Patricia Del Mar Collazo
• Jacquelyn Collin, LMT
• Kelli Madison Collins, PT, DPT
• Shanasre Trani'H Collins
• Susan M Collins
• Joseph Collmar

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.