Organization · Type 2 NPI

Collier Boulevard Hma Physician Management LLC

Family Medicine Physician · Naples, FL

NPI number 1205404498 Active

Practice location

4525 Thomasson Dr Ste 104
Naples, FL 34112-6963

Call (239) 348-4221 Map

Fax (239) 348-4203

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Geriatric Medicine (Family Medicine) Physician	207QG0300X	None listed
Urology Physician	208800000X	None listed
Physician Assistant	363A00000X	None listed
Medical Physician Assistant	363AM0700X	None listed
Surgical Physician Assistant	363AS0400X	None listed
Nurse Practitioner	363L00000X	None listed
Adult Health Nurse Practitioner	363LA2200X	None listed
Family Nurse Practitioner	363LF0000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Another provider at this address

Collier Hma Physician Management LLCInternal Medicine Physician Naples, FL NPI 1194393959

Other family medicine physician providers in Naples

See all in Naples →

NPI record

NPI: 1205404498
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

Authorized official

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

Verify this record

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 1205404498

Collier Boulevard Hma Physician Management LLC's National Provider Identifier is 1205404498, issued on Jun 14, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Naples, FL. The record was last updated on Mar 9, 2022.