Organization · Type 2 NPI

Collier Boulevard Hma Physician Management LLC

General Practice Physician · Naples, FL

NPI number 1609444975 Active

Practice location

15215 Collier Blvd Ste 320
Naples, FL 34119-6836

Call (239) 348-4590 Map

Fax (239) 348-4375

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed
Nurse Practitioner	363L00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

3 other providers at this address

Other general practice physician providers in Naples

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NPI record

NPI: 1609444975
Entity type: Organization (Type 2)
Issued: Jun 14, 2021
Last updated: Mar 14, 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 1609444975

Collier Boulevard Hma Physician Management LLC's National Provider Identifier is 1609444975, issued on Jun 14, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Naples, FL. The record was last updated on Mar 14, 2022.