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Contact Information

COLLIER ANESTHESIA PA
1336 CREEKSIDE BLVD.
SUITE 1
NAPLES, FL34108
 Phone: 239-261-1158
 Fax: 239-261-4232
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for COLLIER ANESTHESIA PA

NPI # 1649251745
LBN Legal business name COLLIER ANESTHESIA PA
Authorized official LYNDA WATERHOUSE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2005
Last updated 07/21/2022 - About 4 years ago
Identifiers
FL Medicaid 371075100
FL Other 39347 BLUE CROSS/BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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