Collier Boulevard Hma Physician Management LLC
NPI #1134797202 in Bonita Springs, Florida
Provider Information
- NPI Number
- 1134797202
- Entity Type
- Organization
- Organization Name
- Collier Boulevard Hma Physician Management LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jun 15, 2021
- Last Updated
- Mar 9, 2022
Practice Location
- Address
- 24231 WALDEN CENTER DR STE 201
- City
- Bonita Springs
- State
- Florida
- ZIP Code
- 34134-5012
- Phone
- (239) 348-4221
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DIR PROV ENROLLMENT & ONBOARDING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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