COLLIER HEALTH SERVICE, INC (NPI# 1528564911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528564911 |
| Entity Type | Organization |
| Organization Name | COLLIER HEALTH SERVICE, INC |
| Other Organization Name | FAMILY CARE NORTH |
| Practice Address |
1265 Creekside Pkwy Ste 206 Naples FL 34108-1954 |
| Mailing Address |
1454 Madison Ave W Immokalee FL 34142-2200 |
| Practice Telephone | 2396583710 |
| Practice Fax Number | 2395912154 |
| Mailing Telephone | 2396583137 |
| Mailing Fax Number | 2396583051 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |
| Authorized Official Name | MIKE ELLIS (CEO) |
| Authorized Official Telephone | 2396583158 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLLIER HEALTH SERVICE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Care North | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508270547 | Collier Health Service, Inc | Clinic/Center | 3339 Tamiami Trl E Ste 146, Naples, FL 34112-5361 | 2014-06-18 |
| Street Address |
1265 CREEKSIDE PKWY STE 206 |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659864411 | Collier Health Services, Inc | Clinic/Center | 1265 Creekside Pkwy Ste 206, Naples, FL 34108-1954 | 2018-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| 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 |
| 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 |
| 1417371675 | Sheila Sawyer | Family Medicine | 121 Goodlette Rd N, Naples, FL 34102-6230 | 2014-02-08 |
| 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.