Provider Demographics
NPI:1871708784
Name:COLLIER HEALTH SERVICES CENTRAL NAPLES PEDIATRICS
Entity type:Organization
Organization Name:COLLIER HEALTH SERVICES CENTRAL NAPLES PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:B
Authorized Official - Last Name:ARAGONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-658-3035
Mailing Address - Street 1:3425 10TH ST N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3806
Mailing Address - Country:US
Mailing Address - Phone:239-262-3669
Mailing Address - Fax:239-262-2031
Practice Address - Street 1:3425 10TH ST N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3806
Practice Address - Country:US
Practice Address - Phone:239-262-3669
Practice Address - Fax:239-262-2031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty