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

36440 US Highway 19 N
Palm Harbor, FL 34684-1330
Phone: (727) 786-0696
Fax: (727) 669-9742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

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
Mailing address3251 N McMullen Booth Rd Ste 303, Clearwater, FL 33761-2022

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