Organization Active NPI

Collier County Medical, Inc.

  • Primary Care Clinic/Center
  • Naples, FL
National Provider Identifier
1437307170
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME 102512 Issued in FL
Legal business name
COLLIER COUNTY MEDICAL, INC.
Practice address
870 111TH Ave N
Suite 2
Naples, FL 34108-1869
Phone
(239) 566-1332
Fax
(239) 566-1332
NPI assigned
Sep 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mohsin Zafar, M.D.
Title
President
Phone
(239) 566-1332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME 102512 FL Primary

Addresses

Primary practice location

870 111TH Ave N
Suite 2
Naples, FL 34108-1869

Mailing address

870 111TH Ave N
Suite 2
Naples, FL 34108-1869
Phone (239) 566-1332

National Provider Directory

National Provider Directory

Locations

870 111th Ave N
Ste 2
Naples, FL 34108
Phone (239) 566-1332

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1437307170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 111TH AVE N",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081869",
            "telephone_number": "239-566-1332",
            "fax_number": "239-566-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 111TH AVE N",
            "address_2": "SUITE 2",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341081869",
            "telephone_number": "239-566-1332",
            "fax_number": "239-566-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER COUNTY MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-06",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "ZAFAR",
        "authorized_official_first_name": "MOHSIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-566-1332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME 102512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.