Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander Andre Collazo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568090371

Alexander Andre Collazo is a Family Practice in Palm Harbor, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2020, 6 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
6
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Palm Harbor, FL

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1563 Land O Lakes Blvd, Lutz, FL 33549-2930 — (813) 949-4224

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS19753 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568090371
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2020
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2020 (6 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Palm Harbor