=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982266938
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COLLIER EDUCATIONAL INITIATIVES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/30/2019
-----------------------------------------------------
Last Update Date | 06/30/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5251 GOLDEN GATE PKWY STE G
-----------------------------------------------------
City | NAPLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34116-7600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-287-5401
-----------------------------------------------------
Fax | 954-741-6824
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 20201 NW 9TH DR
-----------------------------------------------------
City | PEMBROKE PINES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33029-3427
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-308-3128
-----------------------------------------------------
Fax | 954-741-6824
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGING DIRECTOR
-----------------------------------------------------
Name | JOYCE BEVERLY BROWNING
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 800-287-5401
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------