PHILIP COLAIZZO M.D. P.A. NPI 1356376867

NPI Information

  • NPI: 1356376867
  • Provider Name: PHILIP COLAIZZO M.D., P.A.
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Former Legal Business Name: PAHOKEE PEDIATRIC ASSOCIATES
  • CLIA Number: 10D0952125
  • Address: 170 S BARFIELD HWY
    SUITE 108
    PAHOKEE, FL
    ZIP 33476
  • Phone: (561) 924-5155

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NPI Details

PHILIP COLAIZZO M.D., P.A. is a rural health clinic center in Pahokee, FL. PHILIP COLAIZZO M.D., P.A. NPI is 1356376867. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Pahokee Pediatric Associates.

The provider's business location address is:

170 S BARFIELD HWY
SUITE 108
PAHOKEE, FL
ZIP 33476-876
Phone: (561) 924-5155
Fax: (561) 924-7723

The provider's authorized official is Philip Colaizzo .
The authorized official title is Owner and has the following contact phone number (561) 575-9876.

The CLIA number assigned to this NPI record is 10D0952125 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 12/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102625101MEDICAIDFLORIDA
2102625100MEDICAIDFLORIDA
345348OTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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