| Collier Health Services, Inc | |
|
125 Boston Ave Immokalee FL 34142-4017 | |
| (239) 842-8800 | |
| Not Available |
| Full Name | Collier Health Services, Inc |
|---|---|
| Speciality | Pharmacy |
| Location | 125 Boston Ave, Immokalee, Florida |
| Authorized Official Name and Position | Tami Raznoff (CFO) |
| Authorized Official Contact | 2399860136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier Health Services, Inc 1454 Madison Ave W Immokalee FL 34142-2200 Ph: () - | Collier Health Services, Inc 125 Boston Ave Immokalee FL 34142-4017 Ph: (239) 842-8800 |
| NPI Number | 1336959980 |
|---|---|
| Provider Enumeration Date | 01/07/2025 |
| Last Update Date | 04/01/2025 |
| Medicare PECOS PAC ID | 4183521925 |
|---|---|
| Medicare Enrollment ID | O20250416000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336959980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | (* (Not Available)) | Primary |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3064 Fax: 239-658-3175 | |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3175 | |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3175 | |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3064 Fax: 239-658-3175 | |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-932-6935 | |
Collier Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1454 Madison Ave W Unit 3, Immokalee, FL 34142 Phone: 239-658-3000 | |
Collier Health Services Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1454 Madison Ave W, Immokalee, FL 34142 Phone: 239-658-3000 Fax: 239-658-3175 |