Healthcare Provider Details

I. General information

NPI: 1508017872
Provider Name (Legal Business Name): COLLIER HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2008
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 LELY CULTURAL PKWY EDISON COLLEGE BUILDING L
NAPLES FL
34113-8976
US

IV. Provider business mailing address

7007 LELY CULTURAL PKWY EDISON COLLEGE BUILDING L
NAPLES FL
34113-8976
US

V. Phone/Fax

Practice location:
  • Phone: 239-658-3064
  • Fax: 239-658-3175
Mailing address:
  • Phone: 239-775-3052
  • Fax: 239-775-7035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHARON ARAGONA
Title or Position: VICE PRESIDENT
Credential:
Phone: 239-658-3035