Provider Demographics
NPI:1508017872
Name:COLLIER HEALTH SERVICES INC
Entity Type:Organization
Organization Name:COLLIER HEALTH SERVICES INC
Other - Org Name:CHS-UF PEDIATRIC DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAGONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-658-3035
Mailing Address - Street 1:7007 LELY CULTURAL PKWY
Mailing Address - Street 2:EDISON COLLEGE BUILDING L
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-8976
Mailing Address - Country:US
Mailing Address - Phone:239-775-3052
Mailing Address - Fax:239-775-7035
Practice Address - Street 1:7007 LELY CULTURAL PKWY
Practice Address - Street 2:EDISON COLLEGE BUILDING L
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34113-8976
Practice Address - Country:US
Practice Address - Phone:239-658-3064
Practice Address - Fax:239-658-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental