Healthcare Provider Details

I. General information

NPI: 1881813533
Provider Name (Legal Business Name): COLLIER COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 01/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3339 TAMIAMI TRL E STE 145
NAPLES FL
34112-5361
US

IV. Provider business mailing address

PO BOX 429
NAPLES FL
34106-0429
US

V. Phone/Fax

Practice location:
  • Phone: 239-252-8200
  • Fax: 239-774-5653
Mailing address:
  • Phone: 239-252-8200
  • Fax: 239-252-2569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOAN M COLFER
Title or Position: DIRECTOR
Credential: M.D.
Phone: 239-252-8200