Collier Health Services INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Marco Island, FL. Organization (NPI-2).
NPI number1154534634
StatusActive
Last updated in NPPESMar 13, 2008
Details
- NPI
- 1154534634
- Entity type
- Organization (NPI-2)
- Legal business name
- Collier Health Services INC
- Organization subpart
- No
- Enumeration date
- May 8, 2007
- Last updated
- Mar 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Marco Island Pediatrics (Doing Business As)
Practice location
40 S Heathwood DrMarco Island, FL 34145-5026
Phone 239-394-0693 · Fax 239-642-2321
Mailing address
40 S Heathwood DrMarco Island, FL 34145-5026
Phone 239-394-0693 · Fax 239-642-2321
Authorized official
Sharon B Aragona
Vice President
2396583035
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