Organization

Collier Boulevard Hma Physician Management Llc

Legal Business Name

Collier Boulevard Hma Physician Management Llc

NPI Number

1508098344

NPI Type

Organization

Enumeration Date

08/12/2009

Specialties

(Taxonomies)

Contact
Information

Purpose

Mailing
Location

Address

8340 COLLIER BLVD
8340 COLLIER BLVD

City

Naples
Naples

State

FL
FL

Postal Code

34114-3625
34114-3625

Country

US
US

Telephone Number

N/A
(239) 354-4301

Authorized Official

Name

Ms. Jennifer Jackson

Title or Position

SENIOR DIRECTOR PROVIDER ENROLLMENT

Telephone Number

(615) 465-3334

Identifiers

Identifier

001609600

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/09/2022

Provider Address