COLLIER HEALTH SERVICES INC (NPI# 1417161852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417161852 |
| Entity Type | Organization |
| Organization Name | COLLIER HEALTH SERVICES INC |
| Other Organization Name | THE 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 | 2396583707 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | TAMI RAZNOFF (CFO) |
| Authorized Official Telephone | 2396583707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 683955003 | 05 |
| Other Name | Type Code |
|---|---|
| Healthcare Network | Doing Business As Name - Organization |
| The Mike Davis Medical Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1755 Heritage Trl, Suite 604, Naples, FL 341127591 | 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 |
| 1225243132 | Collier Health Services Inc | Family Medicine | 12655 Collier Blvd, Naples, FL 34116-4005 | 2007-05-14 |
| 1598970402 | Collier Health Services Inc | Pediatrics | 12655 Collier Blvd, Naples, FL 34116-4005 | 2007-05-14 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255866513 | Collier Health Services, Inc | Clinic/Center | 1008 Goodlette Frank Rd, Ste 100, Naples, FL 34102-5406 | 2017-04-25 |
| 1689031049 | Collier Health Services, Inc | Clinic/Center | 5450 Ymca Rd, Naples, FL 34109-5944 | 2016-01-15 |
| 1467829424 | Collier Health Services, Inc | Clinic/Center | 2365 Stanford Ct, #701, Naples, FL 34112-4813 | 2015-08-26 |
| 1508270547 | Collier Health Service, Inc | Clinic/Center | 3339 Tamiami Trl E Ste 146, Naples, FL 34112-5361 | 2014-06-18 |
| 1851505200 | Collier Health Services Inc | Clinic/Center | 6350 Davis Blvd # 1001, Naples, FL 34104-5323 | 2007-05-09 |
| 1528271012 | Collier Health Services Inc | Clinic/Center | 12655 Collier Blvd, Naples, FL 34116-4005 | 2007-05-08 |
| 1659864411 | Collier Health Services, Inc | Clinic/Center | 1265 Creekside Pkwy Ste 206, Naples, FL 34108-1954 | 2018-06-07 |
| 1225575699 | Collier Health Services, Inc. | Clinic/Center | 6075 Bathey Ln, Naples, FL 34116-7536 | 2017-01-24 |
| 1164883179 | Collier Health Services, Inc | Clinic/Center | 4077 Tamiami Trl N, Naples, FL 34103-8737 | 2016-03-18 |
| 1780078998 | Collier Health Services, Inc | Clinic/Center | 1890 Sw Health Pkwy, Suite 203, Naples, FL 34109-0473 | 2015-03-25 |
| 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.