CAROLINA P COLLAZO-GONZALEZ (MD) – Pulmonary Disease Physician, NPI 1174839732
Pulmonary Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,454 CRITICAL CARE (INTENSIVISTS) in FL
Provider Addresses for CAROLINA P COLLAZO-GONZALEZ (MD)
3801 S Kanner Hwy Ste 200
Stuart, FL 349944801
Phone: (772) 223-4978
Fax: (772) 223-2847
Type: Location
PO BOX 417
STUART, FL 349950417
Phone: (772) 223-2832
Fax: (772) 223-2847
Type: Mailing
3801 S KANNER HWY STE 200
STUART, FL 349944801
Phone: (772) 223-4978
Fax: (772) 223-2847
Type: Location
9430 TURKEY LAKE RD STE 110
ORLANDO, FL 328198015
Phone: (321) 841-7856
Fax: (321) 843-6432
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231118000393 | I | Pulmonary Disease | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34994)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Vascular Surgery, General Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Sports Medicine | OH | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Internal Medicine | IA |
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