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NPI 1578135083 · live from the CMS NPI Registry

Collier Hma Physician Management LLC

Internal Medicine in Naples, FL. National Provider Identifier 1578135083, active.

NPI record

NPI1578135083 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location8300 Collier Blvd, Naples, FL 34114
Practice phone239-348-4421
Mailing addressPo Box 689022, Franklin, TN 37068
EnumeratedJuly 14, 2021
Last updatedMarch 9, 2022
Authorized officialJennifer Jackson, Sr Dir Prov Enrollment & Onboarding
Other namesPhysicians Regional Medical Center - Collier Boulevard; Collier Hma Physician Management LLC

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant363A00000X—
Physician Assistant, Medical363AM0700X—
Physician Assistant, Surgical363AS0400X—
Nurse Practitioner363L00000X—
Internal Medicine, Gastroenterology207RG0100X—
Obstetrics & Gynecology207V00000X—
Ophthalmology207W00000X—
Orthopaedic Surgery207X00000X—
Psychiatry & Neurology, Neurology2084N0400X—
Radiology, Diagnostic Radiology2085R0202X—
Radiology, Vascular & Interventional Radiology2085R0204X—
Surgery208600000X—
Colon & Rectal Surgery208C00000X—
Orthopaedic Surgery, Foot and Ankle Surgery207XX0004X—
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.