Collier Boulevard Hma Physician Management Llc | |
1839 San Marco Rd Marco Island FL 34145-6722 | |
(239) 394-1670 | |
(239) 394-1677 |
Full Name | Collier Boulevard Hma Physician Management Llc |
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Speciality | Internal Medicine |
Location | 1839 San Marco Rd, Marco Island, Florida |
Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & ONBOARDING) |
Authorized Official Contact | 6154653334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Collier Boulevard Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Collier Boulevard Hma Physician Management Llc 1839 San Marco Rd Marco Island FL 34145-6722 Ph: (239) 394-1670 |
NPI Number | 1952979080 |
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Provider Enumeration Date | 06/15/2021 |
Last Update Date | 03/14/2022 |
Identifier | Type | State | Issuer |
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1952979080 | NPI | - | NPPES |
001609604 | Medicaid | FL |
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