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Organization

PHYSICIANS REGIONAL MEDICAL CENTER - COLLIER BLVD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELLIS B. NORSOPH M.D. (PRESIDENT)
(813) 899-6220
Entity
Organization

Contact information

Practice address
8300 COLLIER BLVD, NAPLES, FL 34114-3549
(813) 899-6226
(813) 985-8006
Mailing address
PO BOX 26309, TAMPA, FL 33623-6309
(813) 899-6226
(813) 985-8006

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
4463
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4463
STATE LICENSE
FL
Enumeration date
10/22/2010
Last updated
10/22/2010
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