| Physicians Regional Medical Group-collier | |
|
8340 Collier Blvd Ste 305 Naples FL 34114-3626 | |
| (239) 348-4583 | |
| (239) 348-4553 |
| Full Name | Physicians Regional Medical Group-collier |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 8340 Collier Blvd Ste 305, 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 |
|---|---|
| Physicians Regional Medical Group-collier Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Physicians Regional Medical Group-collier 8340 Collier Blvd Ste 305 Naples FL 34114-3626 Ph: (239) 348-4583 |
| NPI Number | 1235807264 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 03/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235807264 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
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