Organization
COLLIER HEALTH SERVICES, INC
Active
Other names
Healthcare Network of SW FL
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MOTA (CREDENTIALING MANAGER)
(239) 658-3707
Entity
Organization
Contact information
Practice address
4077 TAMIAMI TRL N, NAPLES, FL 34103-8737
(239) 658-3000
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3000
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/18/2016
Last updated
12/16/2019
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