Organization
COLLIER SURGERY CENTER,LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WAYNE DOUGLAS ADMINISTRATOR (ADMINISTRATOR)
(239) 262-5757
Entity
Organization
Contact information
Practice address
800 GOODLETTE RD N, SUITE #120, NAPLES, FL 34102-5400
(239) 262-5757
(239) 262-6073
Mailing address
800 GOODLETTE RD N, SUITE #120, NAPLES, FL 34102-5400
(239) 262-5757
(239) 262-6073
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
973
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61S
BCBS OF FLORIDA
FL
Enumeration date
01/04/2006
Last updated
08/22/2020
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