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Collier Health Services Inc

Organization Active NPI General Practice Physician · Immokalee, FL

NPI 1376738690 · NPPES record last updated Oct 16, 2024

Key facts

NPI
1376738690
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
COLLIER HEALTH SERVICES INC
Practice address
1441 Heritage Blvd
Immokalee, FL 34142-2260
Phone
(239) 658-3000
NPI assigned
Sep 10, 2007
Organization subpart
No

Authorized official

Name
Tami Raznoff
Title
Cfo
Phone
(239) 986-0136

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 91

National Provider Directory

Tax ID family
Collier Health Services Central Naples Pediatrics (79 organizations share this tax ID)

Locations

1749 Heritage Trl
Ste 801
Naples, FL 34112

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X Yes

Addresses

Primary practice location

1441 Heritage Blvd
Immokalee, FL 34142-2260

Mailing address

1454 Madison Ave W
Immokalee, FL 34142-2200
Phone (239) 658-3000

Other identifiers

IdentifierTypeStateIssuer
683955013MedicaidFL

Other names

  • Healthcare Network Doing business as

Other providers in Immokalee, FL

All providers in Immokalee, FL · General Practice Physician in Florida

Sources for this page

Verify at the official NPI Registry.