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General NPI Number Information
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NPI Number | 1467209783
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Entity Type | Organization
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Legal Business Name | THE COLLIER OPERATOR LLC
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Dates
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Enumeration Date | 05/03/2024
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 770 GOODLETTE RD N
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City | NAPLES
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State | FL
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Zip | 34102-5607
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Country | US
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Telephone | 239-430-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 218 E. BEARSS AVE SUITE 333
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City | TAMPA
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State | FL
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Zip | 33613
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Country | US
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Telephone | 813-447-9260
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ALCIDES SEGUI
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Credential |
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Telephone | 813-447-9260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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