Active NPI
Yuliett Collazo
- Family Nurse Practitioner
- Tamarac, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11013908
- Practice address
- 7800 N University Dr
Tamarac, FL 33321-2128 - Phone
- (954) 670-1170
- NPI assigned
- Feb 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Family Nurse Practitioner | 363LF0000X | 11013908 | FL | Primary |
Addresses
Primary practice location
7800 N University Dr
Tamarac, FL 33321-2128
Mailing address
5630 NE 5TH Ter
Oakland Park, FL 33334-1736
Phone (954) 696-2106
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7800 N University Dr
Tamarac, FL 33321-2128
Phone (954) 670-1170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013908 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claremedica Viking LLC | Current | Accepting new patients | |
| Healthstone Primary Care Partners LLC | Current | Accepting new patients |
Locations
4705 SW 148th Ave
Ste 102
Davie, FL 33330
1835 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (800) 957-8288
3700 Washington St
Ste 404
Hollywood, FL 33021
Phone (954) 963-0888
1000 NW 57th Ct
Ste 400
Miami, FL 33126
501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497
12301 Taft St
Ste 100
Pembroke Pines, FL 33026
Phone (954) 495-4491
7800 N University Dr
Tamarac, FL 33321
Phone (954) 670-1170
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACJFCD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Homestead, FL
- NPI 1992520118
-
- Internal Medicine Physician
- Hollywood, FL
- NPI 1205280260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1396136776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 NE 5TH TER",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333341736",
"telephone_number": "954-696-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 N UNIVERSITY DR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212128",
"telephone_number": "954-670-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO",
"first_name": "YULIETT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11013908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
- Patrisa Yvette Coleman, BS
- Coles Healthcare Services Inc (Traditional Medicine Center)
- Coles Healthcare Services Inc (Traditional Medicine Center)
- Juana Amalfi Coles, APRN
- Ania Collazo Garay
- Amanda Leann Collier, PHARMD
- Colliers at Tamarac Opco, LLC
- Colony Springs Medical Center, Inc
- Angela Combs, D.O.
- Comfortable Care Dental Health Professionals, PA (Woodmont Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.