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Collier Boulevard Hma Physician Management LLC

Family Medicine in Naples, FL. Organization (NPI-2).

NPI number1407428238
StatusActive
Last updated in NPPESMar 9, 2022

Details

NPI
1407428238
Entity type
Organization (NPI-2)
Legal business name
Collier Boulevard Hma Physician Management LLC
Organization subpart
No
Enumeration date
Jul 12, 2021
Certification date
Mar 9, 2022
Last updated
Mar 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
208600000X Surgery––

Other names

  • Physicians Regional Medical Group-Collier (Doing Business As)
  • Collier Boulevard Hma Physician Management LLC (Doing Business As)

Practice location

8340 Collier Blvd Ste 309
Naples, FL 34114-3626

Phone 239-354-6380 · Fax 239-354-6398

Mailing address

Po Box 689022
Franklin, TN 37068-9022

Phone 239-354-6380 · Fax 239-354-6398

Authorized official

Jennifer L Jackson
Sr Dir Prov Enrollment & Onboarding
6154653334

Is something wrong?

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