Collier Boulevard Hma Physician Management LLC
NPI #1952979080 in Marco Island, Florida
Provider Information
- NPI Number
- 1952979080
- Entity Type
- Organization
- Organization Name
- Collier Boulevard Hma Physician Management LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 15, 2021
- Last Updated
- Mar 14, 2022
Practice Location
- Address
- 1839 SAN MARCO RD
- City
- Marco Island
- State
- Florida
- ZIP Code
- 34145-6722
- Phone
- (239) 394-1670
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DIR PROV ENROLLMENT & ONBOARDING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
| Urology |
| Physician Assistant |
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Family — Family |
| Internal Medicine |
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