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Organization

COLLIER HMA PHYSICIAN MANAGEMENT LLC

Active
Other names
Collier HMA Physician Management LLC
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER L JACKSON (SR DIR PROV ENROLLMENT & CVS)
(615) 465-3334
Entity
Organization

Contact information

Practice address
8951 BONITA BEACH RD SE STE 310, BONITA SPRINGS, FL 34135-4222
(239) 348-4221
(239) 354-9509
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211
(615) 628-6877

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
363A00000X
Physician Assistant

Other

Enumeration date
05/03/2022
Last updated
05/03/2022
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