| Collier Medical Specialists, Inc | |
|
6615 Hillway Cir Ste 200 Naples FL 34112-8755 | |
| (239) 774-0345 | |
| (239) 774-1783 |
| Full Name | Collier Medical Specialists, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6615 Hillway Cir, Naples, Florida |
| Authorized Official Name and Position | Rajeev Prem Rajani (PHYSICIAN) |
| Authorized Official Contact | 2397740345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier Medical Specialists, Inc 6615 Hillway Circle Ste 200 Naples FL 34112-8755 Ph: (239) 774-0345 | Collier Medical Specialists, Inc 6615 Hillway Cir Ste 200 Naples FL 34112-8755 Ph: (239) 774-0345 |
| NPI Number | 1295929891 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 04/14/2008 |
| Medicare PECOS PAC ID | 0042383192 |
|---|---|
| Medicare Enrollment ID | O20080722000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295929891 | NPI | - | NPPES |
| 405284600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME99073 (Florida) | Primary |
| Provider Name | Rajeev Rajani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316038698 PECOS PAC ID: 7810958055 Enrollment ID: I20080722000681 |
| Provider Name | Sonia Nigudkar Rajani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841424876 PECOS PAC ID: 7315167624 Enrollment ID: I20160630000833 |
| Provider Name | Debra Lee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568960581 PECOS PAC ID: 3779845524 Enrollment ID: I20180315000686 |
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