Organization · Type 2 NPI

Collier Boulevard Hma Physician Management LLC

Family Medicine Physician · Naples, FL

NPI number 1407428238 Active

Practice location

8340 Collier Blvd Ste 309
Naples, FL 34114-3626

Call (239) 354-6380 Map

Fax (239) 354-6398

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Surgery Physician	208600000X	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.

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NPI record

NPI: 1407428238
Entity type: Organization (Type 2)
Issued: Jul 12, 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

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 1407428238

Collier Boulevard Hma Physician Management LLC's National Provider Identifier is 1407428238, issued on Jul 12, 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.