Organization · Type 2 NPI

Collier Boulevard Hma Physician Management LLC

Urology Physician · Naples, FL

NPI number 1194393587 Active

Practice location

8340 Collier Blvd Ste 203
Naples, FL 34114-3589

Call (239) 348-4396 Map

Fax (239) 354-6010

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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NPI record

NPI: 1194393587
Entity type: Organization (Type 2)
Issued: Jun 14, 2021
Last updated: Mar 9, 2022
Status: Active

Other names

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Collier Boulevard Hma Physician Management LLC · doing business as
Collier Boulevard Hma Physician Management LLC · doing business as
Physicians Regional Medical Group-Collier · doing business as

Authorized official

Jennifer L Jackson
SR Dir Prov Enrollment & Onboarding
(615) 465-3334

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194393587

Collier Boulevard Hma Physician Management LLC's National Provider Identifier is 1194393587, issued on Jun 14, 2021. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Naples, FL. The record was last updated on Mar 9, 2022.