Healthcare Provider Details

I. General information

NPI: 1467642363
Provider Name (Legal Business Name): COLLIER SPORTS MEDICINE AND ORTHOPAEDIC CENTER PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 MEDICAL BLVD SUITE 201
NAPLES FL
34110-1400
US

IV. Provider business mailing address

1706 MEDICAL BLVD SUITE 201
NAPLES FL
34110-1417
US

V. Phone/Fax

Practice location:
  • Phone: 239-593-3500
  • Fax: 239-593-9163
Mailing address:
  • Phone: 239-593-3500
  • Fax: 239-593-9163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES J. GUERRA
Title or Position: OWNER
Credential: M.D.
Phone: 239-593-3500