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NPI 1740852698 · live from the CMS NPI Registry

Collier Boulevard Hma Physician Management LLC

Family Medicine in Naples, FL. National Provider Identifier 1740852698, active.

NPI record

NPI1740852698 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location8340 Collier Blvd Ste 201, Naples, FL 34114
Practice phone239-348-4448
Mailing addressPo Box 689022, Franklin, TN 37068
EnumeratedJuly 12, 2021
Last updatedMarch 14, 2022
Authorized officialJennifer Jackson, Sr Dir Prov Enrollment & Onboarding
Other namesPhysicians Regional Medical Group-Collier

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine, Geriatric Medicine207QG0300X—
Internal Medicine207R00000X—
Internal Medicine, Cardiovascular Disease207RC0000X—
Internal Medicine, Gastroenterology207RG0100X—
Obstetrics & Gynecology207V00000X—
Ophthalmology207W00000X—
Orthopaedic Surgery207X00000X—
Surgery208600000X—
Urology208800000X—
Physician Assistant363A00000X—
Physician Assistant, Medical363AM0700X—
Physician Assistant, Surgical363AS0400X—
Nurse Practitioner363L00000X—
Nurse Practitioner, Family363LF0000X—
Family Medicine primary207Q00000X—

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