COLLIER PODIATRY P.A. NPI 1164634556

NPI Information

  • NPI: 1164634556
  • Provider Name: COLLIER PODIATRY, P.A.
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Organization
  • Address: 1715 HERITAGE TRL
    SUITE 204
    NAPLES, FL
    ZIP 34112
  • Phone: (239) 775-0019

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NPI Details

COLLIER PODIATRY, P.A. is a foot surgery podiatrist in Naples, FL. COLLIER PODIATRY, P.A. NPI is 1164634556. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1715 HERITAGE TRL
SUITE 204
NAPLES, FL
ZIP 34112-715
Phone: (239) 775-0019
Fax: (239) 775-0219

The provider's authorized official is Michael John Petrocelli .
The authorized official title is President and has the following contact phone number (239) 775-0019.

The enumeration date for this NPI number is 5/6/2007 and was last updated on 3/7/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot SurgeryPO-2399FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11811988165OTHERNPI PERSONAL NUMBER
24574474OTHERFLORIDAAETNA NUMBER
3PO-2399OTHERFLORIDASTATE LICENSE NUMBER
465356AOTHERFLORIDABCBS NUMBER
5340308400MEDICAIDFLORIDA

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: 11/21/2025

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