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NPI Code Detail

MEDICARE: COLLIER EMERGENCY SPECIALISTS LLC

MEDICARE: COLLIER EMERGENCY SPECIALISTS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
299345OTHERFLBS

General Provider Information

NPI Number : 1669520409
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLLIER EMERGENCY SPECIALISTS LLC
Provider Business Mailing Address
First Line : 12 GILL ST
Second Line : STE 3000
City : WOBURN
State : MA
Zip : 01801-1728
Country : US
Telephone Number : 781-937-4522
Fax Number :
Provider Business Practice Location Address
First Line : 8300 COLLIER BLVD
Second Line : PHYSICIAN'S REGIONAL MEDICAL CENTER - COLLIER BLVD
City : NAPLES
State : FL
Zip : 34114-3549
Country : US
Telephone Number : 239-354-6000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : RICHARD G. ABOOD
Credential : MD
Telephone Number : 239-593-3232
Provider Enumeration Date : 01/08/2007
Last Update Date : 05/19/2008

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Directions to “COLLIER EMERGENCY SPECIALISTS LLC ” Practice Location

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