Organization
COLLIER MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELVIRA TOLENTINO M.D. (OWNER)
(862) 377-4088
Entity
Organization
Contact information
Practice address
12565 COLLIER BLVD, NAPLES, FL 34116-5243
(239) 455-9919
(239) 455-9906
Mailing address
15725 WILLO PINES LN, MONTVERDE, FL 34756-3500
(862) 377-4088
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME113936
FL
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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