Organization
COLLIER HEALTH SERVICES INC
Active
Parent organization
COLLIER HEALTH SERVICES INC
Other names
Healthcare Network of Sw FL
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLLIER HEALTH SERVICES INC
Authorized official
CONNIE MOTA (CREDENTIALING MANAGER)
(239) 658-3707
Entity
Organization
Contact information
Practice address
12655 COLLIER BLVD, NAPLES, FL 34116-4005
(239) 658-3000
Mailing address
1454 MADISON AVE W, IMMOKALEE, FL 34142-2200
(239) 658-3707
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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