MEDICARE: COLLIER EDUCATIONAL INITIATIVES INC

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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1982266938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLLIER EDUCATIONAL INITIATIVES INC

Provider Business Mailing Address
First Line	:	20201 NW 9TH DR
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-3427
Country	:	US
Telephone Number	:	239-308-3128
Fax Number	:	954-741-6824

Provider Business Practice Location Address
First Line	:	5251 GOLDEN GATE PKWY STE G
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34116-7600
Country	:	US
Telephone Number	:	800-287-5401
Fax Number	:	954-741-6824

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	JOYCE BEVERLY BROWNING
Credential	:
Telephone Number	:	800-287-5401

Provider Enumeration Date	:	06/30/2019
Last Update Date	:	06/30/2019

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