Provider Demographics
NPI:1467209783
Name:THE COLLIER OPERATOR LLC
Entity type:Organization
Organization Name:THE COLLIER OPERATOR LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALCIDES
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-447-9260
Mailing Address - Street 1:218 E. BEARSS AVE
Mailing Address - Street 2:SUITE 333
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613
Mailing Address - Country:US
Mailing Address - Phone:813-447-9260
Mailing Address - Fax:
Practice Address - Street 1:770 GOODLETTE RD N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5607
Practice Address - Country:US
Practice Address - Phone:239-430-3535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility