# COLLIER HEALTH SERVICE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLLIER HEALTH SERVICE, INC
- **Other names:** Healthcare Network
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528564911
- **Legal business name:** COLLIER HEALTH SERVICE, INC
- **Authorized official:** TAMI RAZNOFF (CFO)
- **Authorized official phone:** (239) 986-0136

## Contact information

- **Practice address:** 1265 CREEKSIDE PKWY STE 206, NAPLES, FL 34108-1954
- **Practice address phone:** (239) 658-3710
- **Practice address fax:** (239) 591-2154
- **Mailing address:** 1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
- **Mailing address phone:** (239) 658-3000
- **Mailing address fax:** (239) 658-3051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2018
- **Last updated:** 10/16/2024