# COLLIER HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLLIER HEALTH SERVICES INC
- **Other names:** Healthcare Network of Sw FL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174174783
- **Legal business name:** COLLIER HEALTH SERVICES INC
- **Authorized official:** CONNIE MOTA (CREDENTIALING MANAGER)
- **Authorized official phone:** (239) 658-3707

## Contact information

- **Practice address:** 12655 COLLIER BLVD, NAPLES, FL 34116-4005
- **Practice address phone:** (239) 658-3000
- **Mailing address:** 1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
- **Mailing address phone:** (239) 658-3707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/25/2019
- **Last updated:** 09/25/2019