| Collier Hma Physician Management Llc | |
|
8951 Bonita Beach Rd Se Ste 310 Bonita Springs FL 34135-4222 | |
| (239) 348-4221 | |
| (239) 354-9509 |
| Full Name | Collier Hma Physician Management Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8951 Bonita Beach Rd Se Ste 310, Bonita Springs, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DIR PROV ENROLLMENT & CVS) |
| Authorized Official Contact | 6154653334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collier Hma Physician Management Llc Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Collier Hma Physician Management Llc 8951 Bonita Beach Rd Se Ste 310 Bonita Springs FL 34135-4222 Ph: (239) 348-4221 |
| NPI Number | 1053056176 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053056176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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