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COLLIER ENDOSCOPY & SURGERY CENTER NPI 1154538544


NPI Information

NPI: 1154538544
Provider Name: COLLIER ENDOSCOPY & SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 10D1101237

Address:
3439 PINE RIDGE RD
NAPLES, FL
ZIP 34109
Phone: (239) 275-6678
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COLLIER ENDOSCOPY & SURGERY CENTER is an ambulatory surgical clinic center in Naples, FL. COLLIER ENDOSCOPY & SURGERY CENTER NPI is 1154538544. The provider is registered as an organization entity type.

The provider's business location address is:

3439 PINE RIDGE RD
NAPLES, FL
ZIP 34109-884
Phone: (239) 275-6678
Fax: (239) 275-5216

The provider's authorized official is Megan Alessandra Evetts .
The authorized official title is Biller and has the following contact phone number (239) 593-9599.

The CLIA number assigned to this NPI record is 10D1101237 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 12/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalAS14960420FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1070928000MEDICAIDFLORIDA
2F1352MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.