| Collier Hma Physician Managment, Inc. | |
|
1845 San Marco Rd Unit 203 Marco Island FL 34145-6722 | |
| (239) 348-4400 | |
| Not Available |
| Full Name | Collier Hma Physician Managment, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1845 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 |
|---|---|
| Collier Hma Physician Managment, Inc. Po Box 277575 Atlanta GA 30384-7575 Ph: (866) 391-6826 | Collier Hma Physician Managment, Inc. 1845 San Marco Rd Unit 203 Marco Island FL 34145-6722 Ph: (239) 348-4400 |
| NPI Number | 1386700375 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386700375 | NPI | - | NPPES |
| 275883103 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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