Whalio Doctors

NPI 1003065723

Collier Health Services INC

Organisation Pediatric Dentistry Immokalee, FL

Practice location

Address
1454 Madison Ave W, Immokalee, FL 34142-2200
Phone
(239) 658-3064
Fax
(239) 658-3175
Mailing address
7007 Lely Cultural Pkwy Edison College Building L, Naples, FL 34113-8976

Authorised official

Name
Sandra Steele
Title
Chief Financial Officer
Phone
(239) 658-3003

Registered specialties (6)

Pediatric Dentistry Primary
Dental Providers Taxonomy 1223P0221X
Endodontics
Dental Providers Taxonomy 1223E0200X
Periodontics
Dental Providers Taxonomy 1223P0300X
Dental Hygienist
Dental Providers Taxonomy 124Q00000X
Dental Assistant
Dental Providers Taxonomy 126800000X
Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities Taxonomy 261QF0400X

Registry record

NPI
1003065723
Entity type
Organization
NPI issued
18 Sep 2008
Record last updated
10 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.