# COLLIER PATHOLOGY SERVICES P A

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891857702
- **Authorized official:** BRUNO DIPASQUALE MD, PHD (PRESIDENT)
- **Authorized official phone:** (239) 348-4319

## Contact information

- **Practice address:** 6101 PINE RIDGE RD, NAPLES, FL 34119-3900
- **Practice address phone:** (239) 348-4319
- **Practice address fax:** (239) 304-5087
- **Mailing address:** 5755 HOOVER BLVD, TAMPA, FL 33634-5340
- **Mailing address phone:** (813) 886-8334
- **Mailing address fax:** (813) 890-0143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | ME81670 | FL | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 08/22/2020
