Dailen Collazo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11036488 Issued in FL

Practice address

9109 S US Highway 1 Ste 101
Port St Lucie, FL 34952-3453

Phone

(772) 398-1305

Fax

(772) 398-1307

NPI assigned

Nov 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Nova Medical Services - Dermatology Division LLC

  • Dermatology Physician
  • Miami, FL
  • NPI 1861137655
  Medicare reassignment NPD
• Soma Medical Center, PA

  • Internal Medicine Physician
  • Palm Springs, FL
  • NPI 1467499038
  Medicare reassignment
• Gesher Medical Services, LLC

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
  • NPI 1891536645
  NPD
• Medical Consultants of Florida, LLC

  • Non-Pharmacy Dispensing Site
  • Port St Lucie, FL
  • NPI 1396511465
  NPD
• Medical Consultants of Florida, LLC

  • Internal Medicine Physician
  • Deerfield Beach, FL
  • NPI 1619169810
  NPD
• Soma Medical Center, PA

  • Internal Medicine Physician
  • Royal Palm Beach, FL
  • NPI 1538805965
  NPD

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1861218372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "954-363-9582",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 S US HIGHWAY 1 STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523453",
            "telephone_number": "772-398-1305",
            "fax_number": "772-398-1307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 SW Prima Vista Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349831820",
            "country_code": "US",
            "telephone_number": "772-905-2555",
            "fax_number": "772-336-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "DAILEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-29",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11036488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colean Services, Inc.
• John Edwin Colean, O.D.
• Charlyn A. Coleman, ARNP
• Latrice Amariah Coleman
• Wendy A Colin, RBT
• Madison Taylor Colletta
• Lisa Collica, LMT
• Colliers at Port St. Lucie Opco, LLC
• Alan Steven Collin, MD
• Berjan Collin, MD

• Family Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.