Collier Hma Physician Management LLC
in Estero, FL. Organization (NPI-2).
NPI number1164090874
StatusActive
Last updated in NPPESMar 8, 2022
Details
- NPI
- 1164090874
- Entity type
- Organization (NPI-2)
- Legal business name
- Collier Hma Physician Management LLC
- Organization subpart
- No
- Enumeration date
- Jun 17, 2021
- Certification date
- Mar 8, 2022
- Last updated
- Mar 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | – | – | Yes |
Other names
- Collier Hma Physician Management LLC (Doing Business As)
- Physicians Regional Medical Group (Doing Business As)
Practice location
24231 Walden Center Dr Ste 201Estero, FL 34134-5012
Phone 239-348-4420 · Fax 239-390-2486
Mailing address
Po Box 689022Franklin, TN 37068-9022
Phone 615-465-7211 · Fax 615-628-6877
Authorized official
Jennifer L Jackson
Sr Dir Prov Enrollment & Onboarding
6154653334
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