Organization · Type 2 NPI

Collier Hma Physician Management LLC

Gastroenterology Physician · Estero, FL

NPI number 1467020248 Active

Practice location

24231 Walden Center Dr Ste 160
Estero, FL 34134-5011

Call (239) 348-4212 Map

Fax (239) 348-4213

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Gastroenterology Physician Primary	207RG0100X	None listed
Vascular Surgery Physician	2086S0129X	None listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Another provider at this address

Collier Boulevard Hma Physician Management LLCGeneral Practice Physician Estero, FL NPI 1710555818

NPI record

NPI: 1467020248
Entity type: Organization (Type 2)
Issued: Jun 16, 2021
Last updated: Mar 9, 2022
Status: Active

Other names

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Collier Hma Physician Management LLC · doing business as
Physicians Regional Medical Group · doing business as
Physicians Regional Medical Group · 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 1467020248

Collier Hma Physician Management LLC's National Provider Identifier is 1467020248, issued on Jun 16, 2021. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Estero, FL. The record was last updated on Mar 9, 2022.