Collier Podiatry, P.A.

LBN: Collier Podiatry, P.A.
Collier Podiatry, P.A. is an health care organization with primary practice located at 1715 Heritage Trl Suite 204, Naples FL 34112-8715. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Collier Podiatry, P.A. can be contacted via phone (239) 775-0019, or through Petrocelli, Michael John via phone (239) 775-0019.

Contact Information

Primary practice address
1715 Heritage Trl Suite 204 Naples FL 34112-8715
Phone: (239) 775-0019
Fax: (239) 775-0219
Website:
Map and Directions
Authorized official contact:
Name: Petrocelli, Michael John Doctor of Podiatric Medicine (DPM)
Phone: (239) 775-0019

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO-2399 Florida

Profile Details

NPI number 1164634556
LBN Legal business name Collier Podiatry, P.A.
DBA Doing business as
Authorized official Petrocelli, Michael John Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2007
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164634556 NPPES
Other 1811988165 NPI PERSONAL NUMBER
Other 4574474 NPI PERSONAL NUMBER
Other PO-2399 NPI PERSONAL NUMBER
Other 65356A NPI PERSONAL NUMBER
MEDICAID 340308400 NPI PERSONAL NUMBER

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