| Collier Hma Physician Management Llc | |
|
8340 Collier Blvd Ste 405 Naples FL 34114-3626 | |
| (239) 348-4579 | |
| (239) 348-4529 |
| Full Name | Collier Hma Physician Management Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 8340 Collier Blvd Ste 405, Naples, Florida |
| Authorized Official Name and Position | Jennifer L Jackson (SR DR. PROV ENROLLMENT & ONBOARDING) |
| 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 8340 Collier Blvd Ste 405 Naples FL 34114-3626 Ph: (239) 348-4579 |
| NPI Number | 1750051496 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750051496 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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