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Organization

ESTATES MEDICAL CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARC E MCCOLLAUM PA-C (PRESIDENT)
(239) 641-6871
Entity
Organization

Contact information

Practice address
13240 TAMIAMI TRL N STE 204, NAPLES, FL 34110-1626
(239) 349-2500
(239) 349-2501
Mailing address
281 10TH AVE NW, NAPLES, FL 34120-2083
(239) 641-6871

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
133V00000X
Registered Dietitian
208D00000X
General Practice Physician
Primary
ME36001
FL
363A00000X
Physician Assistant
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/31/2013
Last updated
08/13/2025
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