Collier Boulevard Hma Physician Management LLC

NPI #1477124469 in Naples, Florida

Provider Information

NPI Number
1477124469
Entity Type
Organization
Organization Name
Collier Boulevard Hma Physician Management LLC
Primary Specialty
Plastic Surgery - Surgery of the Hand
Enumeration Date
Jul 9, 2021
Last Updated
Mar 9, 2022

Practice Location

Address
8340 COLLIER BLVD STE 303
City
Naples
State
Florida
ZIP Code
34114-3626
Phone
(239) 348-4400

Authorized Official

Name
JENNIFER L JACKSON
Title
SR DIR PROV ENROLLMENT & ONBOARDING
Phone
(615) 465-3334

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Plastic Surgery - Surgery of the HandSurgery of the Hand

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