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Organization
COLLIER HEALTH SERVICES INC
Active
Organization
COLLIER HEALTH SERVICES INC
Active
Other names
Ronald McDonald Care Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI RAZNOFF (CFO)
(239) 986-0136
Entity
Organization
Contact information
Practice address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
(239) 658-3050
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
(239) 658-3050
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683955007
—
FL
Enumeration date
05/14/2007
Last updated
01/19/2023
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