Healthcare Provider Details

I. General information

NPI: 1083674519
Provider Name (Legal Business Name): COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8075 LELY CULTURAL PARKWAY
NAPLES FL
34113-7789
US

IV. Provider business mailing address

PO BOX 7789
NAPLES FL
34101-7789
US

V. Phone/Fax

Practice location:
  • Phone: 239-252-3740
  • Fax: 239-252-3898
Mailing address:
  • Phone: 239-252-3754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3140
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number3140
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number3140
License Number StateFL

VIII. Authorized Official

Name: TABATHA BUTCHER
Title or Position: CHIEF
Credential:
Phone: 239-252-3780