| Kollao Care Llc | |
|
4421 Nw 39th Ave Ste 3 Gainesville FL 32606-7221 | |
| (352) 448-1614 | |
| Not Available |
| Full Name | Kollao Care Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4421 Nw 39th Ave Ste 3, Gainesville, Florida |
| Authorized Official Name and Position | Madeline Oberg (OWNER) |
| Authorized Official Contact | 3524481614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kollao Care Llc 4421 Nw 39th Ave Ste 3 Gainesville FL 32606-7221 Ph: () - | Kollao Care Llc 4421 Nw 39th Ave Ste 3 Gainesville FL 32606-7221 Ph: (352) 448-1614 |
| NPI Number | 1598483059 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Certification Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598483059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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