Organization · Type 2 NPI

Collier Boulevard Hma Physician Management LLC

Family Medicine Physician · Naples, FL

NPI number 1770154791 Active

Practice location

6003 Pine Ridge Rd
Naples, FL 34119-3956

Call (239) 348-4280 Map

Fax (239) 348-4553

Mailing address

PO Box 689022
Franklin, TN 37068-9022

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Physician Assistant	363A00000X	None listed
Medical Physician Assistant	363AM0700X	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.

3 other providers at this address

Other family medicine physician providers in Naples

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NPI record

NPI: 1770154791
Entity type: Organization (Type 2)
Issued: Jul 9, 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 · 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 1770154791

Collier Boulevard Hma Physician Management LLC's National Provider Identifier is 1770154791, issued on Jul 9, 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 14, 2022.