Alexander Andre Collazo

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS19753 Issued in FL

Practice address

36440 US Highway 19 N
Palm Harbor, FL 34684-1330

Phone

(727) 786-0696

Fax

(727) 669-9742

NPI assigned

Mar 28, 2020

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

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

Specialty

Family Practice

Education

Nova Southeastern College of Osteo Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: alexander.collazo.1@29601.direct.athenahealth.com
• Direct secure messaging: alexander.collazo.2@29601.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/967/brand/1/csg/1/fhir/r4

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.

• Conviva Medical Center Management LLC

  dba Conviva Care Center

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Bowman & Hampsey Medical Clinic, Inc

  • Primary Care Clinic/Center
  • Clearwater, FL
  • NPI 1205264355

  Single Specialty

  Medicare reassignment NPD
• Bowman & Hampsey Mdspa

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1215042858

  Single Specialty

  NPD (past)
• Susan Baldi DO PA

  • Family Medicine Physician
  • Palm Harbor, FL
  • NPI 1669745535

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Joseph's Hospital, Inc.

  dba St. Joseph's Women's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph's Hospital, Inc.

  dba St. Joseph's Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1568090371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 303",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-725-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36440 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841330",
            "telephone_number": "727-786-0696",
            "fax_number": "727-669-9742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1563 Land O Lakes Blvd",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335492930",
            "country_code": "US",
            "telephone_number": "813-949-4224",
            "fax_number": "813-949-2809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "ALEXANDER",
        "middle_name": "ANDRE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexander.collazo.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "alexander.collazo.1@29601.direct.athenahealth.com",
            "address_1": "1563 Land O Lakes Blvd",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335492930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexander.collazo.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "alexander.collazo.2@29601.direct.athenahealth.com",
            "address_1": "1563 Land O Lakes Blvd",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335492930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cohnevans (Physical Therapy Now Palm Harbor)
• Carlton S Cole Jr., P.T.
• Jaimie Cole, RDN, LDN
• Montana Cole, MD
• Jennifer Coll, O.T.
• William Germal Collier
• Daniel K Colombini, PTA
• Michelle Cristina Colon Rivera
• Comfort Home Health Foundation, Inc.
• Comfortable Care Dental Health Professionals, P.a. (Brooker Creek Dental Group)

• Family Medicine Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.

Verify at the official NPI Registry.