# COLLIER HMA PHYSICIAN MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Collier HMA Physician Management LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003484890
- **Authorized official:** KRISTINA MUSIC (DIR PROVIDER ENROLLMENT)
- **Authorized official phone:** (615) 465-7377

## Contact information

- **Practice address:** 8340 COLLIER BLVD STE 202, NAPLES, FL 34114-3589
- **Practice address phone:** (239) 348-4221
- **Practice address fax:** (239) 348-4213
- **Mailing address:** 8340 COLLIER BLVD STE 202, NAPLES, FL 34114-3589
- **Mailing address phone:** (615) 465-7211
- **Mailing address fax:** (615) 628-6877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2021
- **Last updated:** 10/06/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 275883127 | — | FL |