COLLIER HEALTH SERVICES INC (NPI# 1225243132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225243132 |
| Entity Type | Organization |
| Organization Name | COLLIER HEALTH SERVICES INC |
| Other Organization Name | MIKE DAVIS MEDICAL CENTER |
| Practice Address |
12655 Collier Blvd Naples FL 34116-4005 |
| Mailing Address |
1454 Madison Ave W Immokalee FL 34142-2200 |
| Practice Telephone | 2396583000 |
| Mailing Telephone | 2393533000 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | TAMI RAZNOFF (CFO) |
| Authorized Official Telephone | 2396583137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 683955004 | 05 |
| Other Name | Type Code |
|---|---|
| Healthcare Network | Doing Business As Name - Organization |
| Mike Davis Medical Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1755 Heritage Trl, Suite 604 (unit A), Naples, FL 341127600 | 2393534101 | 2393534231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073707741 | Collier Health Services Inc | Clinic/Center | 1749 Heritage Trl # 801, Naples, FL 34112-7591 | 2007-09-05 |
| 1952516866 | Collier Health Services Inc | Dentist | 5038 Coronado Pkwy, Naples, FL 34116-6950 | 2007-05-14 |
| 1851505200 | Collier Health Services Inc | Clinic/Center | 6350 Davis Blvd # 1001, Naples, FL 34104-5323 | 2007-05-09 |
| 1508079245 | Collier Health Services Inc | Clinic/Center | 508 N 9th St, Suite 142, Immokalee, FL 34142-3146 | 2007-05-08 |
| 1528271012 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2007-05-08 |
| 1679124010 | Collier Health Services Inc | General Practice | 12655 Collier Blvd, Naples, FL 34116-4005 | 2019-09-26 |
| 1174174783 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2019-09-25 |
| 1972158632 | Collier Health Services Inc | Pharmacy | 12655 Collier Blvd, Naples, FL 34116 | 2019-08-08 |
| 1063793214 | Collier Health Services Inc | Family Medicine | 1284 Creekside St, Suite #101, Naples, FL 34108-1949 | 2011-09-01 |
| 1376823922 | Collier Health Services Inc | Clinic/Center | 1284 Creekside St, Suite #101, Naples, FL 34108-1949 | 2011-08-26 |
| Street Address |
12655 COLLIER BLVD |
| City | NAPLES |
| State | FL |
| Zip Code | 34116-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528271012 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2007-05-08 |
| 1679124010 | Collier Health Services Inc | General Practice | 12655 Collier Blvd, Naples, FL 34116-4005 | 2019-09-26 |
| 1174174783 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2019-09-25 |
| 1972158632 | Collier Health Services Inc | Pharmacy | 12655 Collier Blvd, Naples, FL 34116 | 2019-08-08 |
| 1962951996 | Collier Health Services Inc. | Pharmacy | 12655 Collier Blvd, Naples, FL 34116-4005 | 2016-10-03 |
| 1598970402 | Collier Health Services Inc | Pediatrics | 12655 Collier Blvd, Naples, FL 34116-4005 | 2007-05-14 |
| 1417161852 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058455 | Angela Maria Eastman | Pharmacist | 4849 Golden Gate Parkway, Naples, FL 34116 | 2020-09-23 |
| 1841828167 | Annie Sanabria | Specialist/Technologist | 2117 Sunshine Blvd Apt A, Naples, FL 34116 | 2020-03-31 |
| 1487142519 | Yandra Teresa Alvarez I | Nursing Care | 4696 Golden Gate Pkwy., Apt:a, Naples, FL 34116 | 2018-04-24 |
| 1861933251 | Vivian Reyes Carmenate | Behavior Technician | 4425 19th Pl Sw, Naples, FL 34116 | 2017-03-17 |
| 1992108419 | Nery Cardenas | Social Worker | 11725 Collier Blvd Suite A-2, Naples, FL 34116 | 2014-09-29 |
| 1437459559 | Gifford Chiropractic & Neurodiagnostic Center, Pa | Chiropractor | 4930 Golden Gate Pkwy., Naples, FL 34116 | 2010-10-22 |
| 1194047704 | Jose Francisco Baldoquin | Pharmacist | Kmart 4955 Golden Gate Parkway, Naples, FL 34116 | 2010-02-23 |
| 1851627798 | Victor Antonio Delgado | Massage Therapist | 5321 27th Ave Sw, Naples, FL 34116 | 2009-10-28 |
| 1225362692 | Santa Barbara Pain and Injury Rehab LLC | Chiropractor | 2006 Santa Babara Blvd, Naples, FL 34116 | 2009-10-01 |
| 1336397462 | Julio Cesar Dejardens | General Practice | 5580 19th Ct. Sw Unit 2, Naples, FL 34116 | 2008-09-03 |
| Find all providers in zip 34116 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992348437 | Daniel Joseph Rosende | Family Medicine | 2928 50th Ter Sw, Naples, FL 34116-7632 | 2019-10-28 |
| 1922655505 | Jill Layman | Family Medicine | 8165 Xenia Ln, Naples, FL 34114-2698 | 2019-08-20 |
| 1114487097 | Grant Charles Cardon | Family Medicine | 5921 Three Iron Dr Unit 2904, Naples, FL 34110-3213 | 2019-03-25 |
| 1427548189 | Ellen Lamanilao | Family Medicine | 15777 Marcello Cir, Naples, FL 34110-2834 | 2018-05-17 |
| 1528564911 | Collier Health Service, Inc | Family Medicine | 1265 Creekside Pkwy Ste 206, Naples, FL 34108-1954 | 2018-04-04 |
| 1346760683 | Marco Island Pharmacy 2 LLC | Family Medicine | 5475 Golden Gate Pkwy Ste 5w, Naples, FL 34116-7529 | 2017-06-27 |
| 1871946236 | Elite Healthcare and Wellness Group, Inc | Family Medicine | 2400 Vanderbilt Beach Rd, Suite 106, Naples, FL 34109-2771 | 2016-07-20 |
| 1780064428 | Naples West Group | Family Medicine | 5051 Castello Dr Ste 41, Naples, FL 34103-8984 | 2015-06-08 |
| 1801281589 | Paul Francis Hemrick | Family Medicine | 400 8th St N Fl 2, Naples, FL 34102-5519 | 2015-03-31 |
| 1679988299 | Andrea Bickerton | Family Medicine | 8855 Immokalee Rd Unit 11, Naples, FL 34120-3928 | 2014-06-23 |
| Find all providers in NAPLES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.