Organization
COLLIER HEALTH SERVICES INC
Active
Other names
Healthcare Network
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI RAZNOFF (CFO)
(239) 986-0136
Entity
Organization
Contact information
Practice address
1749 HERITAGE TRL # 801, NAPLES, FL 34112-7591
(239) 658-3000
(239) 774-2317
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683955011
—
FL
Enumeration date
09/05/2007
Last updated
10/16/2024
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