| Collier Boulevard Hma Physician Management Llc | |
|
4525 Thomasson Dr Ste 104 Naples FL 34112-6963 | |
| (239) 348-4221 | |
| (239) 348-4203 |
| Full Name | Collier Boulevard Hma Physician Management Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 4525 Thomasson Dr Ste 104, Naples, 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 |
|---|---|
| Collier Boulevard Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Collier Boulevard Hma Physician Management Llc 4525 Thomasson Dr Ste 104 Naples FL 34112-6963 Ph: (239) 348-4221 |
| NPI Number | 1205404498 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205404498 | NPI | - | NPPES |
| 001609632 | Medicaid | FL |
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